HELEN C AGOMO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

NOT RENEWED

Business

First Name

HELEN

Middle

Last Name

AGOMO

Business Name

HELEN C AGOMO

Original Issue Date

12/16/2010

Effective Date

04/24/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021