NWADIUTOR O IFEZUE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

NOT RENEWED

Business

First Name

NWADIUTOR O

Last Name

IFEZUE

Business Name

NWADIUTOR O IFEZUE

Original Issue Date

11/18/2014

Effective Date

04/27/2020

Expiration Date

08/31/2022

City

RICHTON PARK

State

Zip

60471

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022