LATEEF B KELANI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

INACTIVE

Business

First Name

LATEEF

Middle

Last Name

KELANI

Business Name

LATEEF B KELANI

Original Issue Date

02/05/2021

Effective Date

05/14/2022

Expiration Date

05/31/2024

City

EAST DUNDEE

State

Zip

60118

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023