FADESIRE O AJUWON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

ACTIVE

Business

First Name

FADESIRE

Middle

Last Name

AJUWON

Business Name

FADESIRE O AJUWON

Original Issue Date

12/19/2016

Effective Date

07/09/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026