OLUMIDE FAGBEMI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

ACTIVE

Business

First Name

OLUMIDE

Last Name

FAGBEMI

Business Name

OLUMIDE FAGBEMI

Original Issue Date

10/19/2022

Effective Date

03/28/2024

Expiration Date

05/31/2026

City

CALUMET CITY

State

Zip

60409

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026