THEOPHILUS A SANGODELE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277003874

License Status

ACTIVE

Business

First Name

THEOPHILUS

Middle

Last Name

SANGODELE

Business Name

THEOPHILUS A SANGODELE

Original Issue Date

02/06/2025

Effective Date

02/06/2025

Expiration Date

05/31/2026

City

BATAVIA

State

Zip

45103

Ever Disciplined

LastModifiedDate

03/02/2026