JELYA INGRID FATAWU Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209029137

License Status

ACTIVE

Business

First Name

JELYA

Middle

INGRID

Last Name

FATAWU

Business Name

JELYA INGRID FATAWU

Original Issue Date

12/28/2023

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

WENTZVILLE

State

Zip

63385

Ever Disciplined

LastModifiedDate

03/09/2026