BABATUNDE EBEN ADEOSUN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

ACTIVE

Business

First Name

BABATUNDE

Middle

EBEN

Last Name

ADEOSUN

Business Name

BABATUNDE EBEN ADEOSUN

Original Issue Date

09/30/2020

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

FORT WAYNE

State

Zip

46814

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026