ADEWUMI C ODEFADEHAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

INACTIVE

Business

First Name

ADEWUMI

Middle

Last Name

ODEFADEHAN

Business Name

ADEWUMI C ODEFADEHAN

Original Issue Date

06/07/2018

Effective Date

06/07/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/25/2018