IDOWU F FAPOHUNDA 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

IDOWU

Middle

Last Name

FAPOHUNDA

Business Name

IDOWU F FAPOHUNDA

Original Issue Date

04/03/2019

Effective Date

04/27/2020

Expiration Date

08/31/2022

City

CALUMET CITY

State

Zip

60409

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022