BUKOLA EUNICE ADEAGBO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

INACTIVE

Business

First Name

BUKOLA

Middle

EUNICE

Last Name

ADEAGBO

Business Name

BUKOLA EUNICE ADEAGBO

Original Issue Date

04/07/2020

Effective Date

03/03/2024

Expiration Date

05/31/2026

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/15/2024