SABITIYU KOFOWOROLA FOLAWIYO-SABA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

NOT RENEWED

Business

First Name

SABITIYU

Middle

KOFOWOROLA

Last Name

FOLAWIYO-SABA

Business Name

SABITIYU KOFOWOROLA FOLAWIYO-SABA

Original Issue Date

12/10/2020

Effective Date

08/11/2022

Expiration Date

06/30/2024

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025