AYAGOGO RETTEW Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

INOPERATIVE

Business

First Name

AYAGOGO

Last Name

RETTEW

Business Name

AYAGOGO RETTEW

Original Issue Date

09/23/2016

Effective Date

06/01/2024

Expiration Date

05/31/2026

City

INDIANAPOLIS

State

Zip

46260

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2024