ETO IDOWU FALOLA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

NOT RENEWED

Business

First Name

ETO

Middle

IDOWU

Last Name

FALOLA

Business Name

ETO IDOWU FALOLA

Original Issue Date

08/10/2001

Effective Date

04/09/2020

Expiration Date

08/31/2022

City

MATTESON

State

Zip

60443

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/14/2022