BAYO BABATUNDE AGBOLADE 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

BAYO

Middle

BABATUNDE

Last Name

AGBOLADE

Business Name

BAYO BABATUNDE AGBOLADE

Original Issue Date

10/11/2022

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2025