BANYATLAX CHONGULIA - Registered Nurse License in Illinois | # 041121466

BANYATLAX CHONGULIA

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041121466

License Status

INACTIVE

Business

N

First Name

BANYATLAX

Last Name

CHONGULIA

Business Name

BANYATLAX CHONGULIA

Original Issue Date

06/16/1967

Effective Date

06/16/1967

Expiration Date

05/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006