MAYOWA OGUNFOWOKAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

NOT RENEWED

Business

First Name

MAYOWA

Last Name

OGUNFOWOKAN

Business Name

MAYOWA OGUNFOWOKAN

Original Issue Date

06/23/2020

Effective Date

06/04/2022

Expiration Date

06/30/2024

City

AURORA

State

Zip

60504

County

KANE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025