AFUSAT T OLOMADA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

INACTIVE

Business

First Name

AFUSAT

Middle

Last Name

OLOMADA

Business Name

AFUSAT T OLOMADA

Original Issue Date

08/26/2020

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2024