OMOTOLA W DANMOLE-ODIMAYO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

INACTIVE

Business

First Name

OMOTOLA

Middle

Last Name

DANMOLE-ODIMAYO

Business Name

OMOTOLA W DANMOLE-ODIMAYO

Original Issue Date

07/07/2008

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/16/2018