SUSY WANJIRO OJWANG Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

NOT RENEWED

Business

First Name

SUSY

Middle

WANJIRO

Last Name

OJWANG

Business Name

SUSY WANJIRO OJWANG

Original Issue Date

10/02/2017

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

HOFFMAN ESTATES

State

Zip

60169

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021