BUKOLA EUNICE ADEAGBO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

NOT RENEWED

Business

First Name

BUKOLA

Middle

EUNICE

Last Name

ADEAGBO

Business Name

BUKOLA EUNICE ADEAGBO

Original Issue Date

09/19/2019

Effective Date

09/19/2019

Expiration Date

09/30/2020

City

ORLAND PARK

State

Zip

60462

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021