TIA DOMINIQUE AGBORUCHE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028737

License Status

NOT RENEWED

Business

First Name

TIA

Middle

DOMINIQUE

Last Name

AGBORUCHE

Business Name

TIA DOMINIQUE AGBORUCHE

Original Issue Date

11/09/2023

Effective Date

11/09/2023

Expiration Date

06/30/2024

City

HIGHLAND PARK

State

Zip

48203

Ever Disciplined

LastModifiedDate

02/05/2025