OMOTOLA W DANMOLE-ODIMAYO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

NOT RENEWED

Business

First Name

OMOTOLA

Middle

Last Name

DANMOLE-ODIMAYO

Business Name

OMOTOLA W DANMOLE-ODIMAYO

Original Issue Date

08/31/2011

Effective Date

08/31/2011

Expiration Date

05/31/2012

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/10/2012