THEOPHILUS A SANGODELE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023769

License Status

ACTIVE

Business

First Name

THEOPHILUS

Middle

Last Name

SANGODELE

Business Name

THEOPHILUS A SANGODELE

Original Issue Date

08/06/2021

Effective Date

06/30/2024

Expiration Date

05/31/2026

City

BATAVIA

State

Zip

45103

Ever Disciplined

LastModifiedDate

03/02/2026