OSASUMWEN O IGBINOBA 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

OSASUMWEN

Middle

Last Name

IGBINOBA

Business Name

OSASUMWEN O IGBINOBA

Original Issue Date

11/10/2020

Effective Date

11/10/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60661

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2022