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Itohan
Itohan
Agbonayinma
Licensed practical nurse
Waukegan, United States
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Florida Health Care Practitioner Data Portal
Full name
Itohan Agbonayinma
Job Title
Licensed Practical Nurse
Location
Waukegan, IL, USA
LIC ID
218786
Current License Expiration Date
31/07/2025
Original Date
08/09/2022
Professional Rank Code
PN
Effective Date
08/09/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Mailing Address Line 2
Apt 215
Practice Location Address Line 1
1360 South White Oak Drive
Practice Location Address Line 2
Apt 215
Practice Location Address City
WAUKEGAN
Practice Location Address State
IL
Practice Location Address Zipcode
60085
Mode Code
Single-state License
Prescribing Indicator
N
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