MEDINAT B BALOGUN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

INACTIVE

Business

First Name

MEDINAT

Middle

Last Name

BALOGUN

Business Name

MEDINAT B BALOGUN

Original Issue Date

12/03/2020

Effective Date

05/05/2024

Expiration Date

05/31/2026

City

FLOSSMOOR

State

Zip

60422

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/29/2024