MOFOLUWA O AMIYAN 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

MOFOLUWA O

Last Name

AMIYAN

Business Name

MOFOLUWA O AMIYAN

Original Issue Date

06/26/2014

Effective Date

06/03/2024

Expiration Date

05/31/2026

City

ILLINOIS

State

Zip

60471

County

COOK

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

06/03/2024