UWAILA IYENGUNMWENA IREDIA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

ACTIVE

Business

First Name

UWAILA

Last Name

IYENGUNMWENA IREDIA

Business Name

UWAILA IYENGUNMWENA IREDIA

Original Issue Date

03/12/2021

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026