CYRIL I EZEANYAGU Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

ACTIVE

Business

First Name

CYRIL

Middle

Last Name

EZEANYAGU

Business Name

CYRIL I EZEANYAGU

Original Issue Date

12/12/2024

Effective Date

12/12/2024

Expiration Date

05/31/2026

City

LANSING

State

Zip

60438

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026