OGHENERO LUCKY OLOMUKORO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

INACTIVE

Business

First Name

OGHENERO

Middle

LUCKY

Last Name

OLOMUKORO

Business Name

OGHENERO LUCKY OLOMUKORO

Original Issue Date

10/05/2022

Effective Date

05/04/2024

Expiration Date

05/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/22/2025