INNOCENTCIA N WAGALA-AYAFOR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

ACTIVE

Business

First Name

INNOCENTCIA N

Last Name

WAGALA-AYAFOR

Business Name

INNOCENTCIA N WAGALA-AYAFOR

Original Issue Date

04/06/2015

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026