ADAOBI MIRIAN INNOCENT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

ACTIVE

Business

First Name

ADAOBI

Middle

MIRIAN

Last Name

INNOCENT

Business Name

ADAOBI MIRIAN INNOCENT

Original Issue Date

10/08/2024

Effective Date

10/08/2024

Expiration Date

05/31/2026

City

PERU

State

Zip

61354

County

LA SALLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026