MODUPE O ADEFESO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043103484

License Status

INACTIVE

Business

First Name

MODUPE

Middle

Last Name

ADEFESO

Business Name

MODUPE O ADEFESO

Original Issue Date

05/04/2007

Effective Date

01/18/2011

Expiration Date

01/31/2013

City

SKOKIE

State

Zip

60203

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2012