IMMACULEE NYIRASUKU Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

NOT RENEWED

Business

First Name

IMMACULEE

Last Name

NYIRASUKU

Business Name

IMMACULEE NYIRASUKU

Original Issue Date

02/14/2022

Effective Date

05/13/2022

Expiration Date

06/30/2024

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025