BENEDICTA IDEFUA ODEMERHO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

ACTIVE

Business

First Name

BENEDICTA IDEFUA

Last Name

ODEMERHO

Business Name

BENEDICTA IDEFUA ODEMERHO

Original Issue Date

11/09/2011

Effective Date

03/13/2024

Expiration Date

05/31/2026

City

COLLINSVILLE

State

Zip

62234

County

JEFFERSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026