EPIFANIA D BONGABONG - Registered Nurse License in Illinois | # 041129745

EPIFANIA D BONGABONG

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129745

License Status

NOT RENEWED

Business

N

First Name

EPIFANIA D

Last Name

BONGABONG

Business Name

EPIFANIA D BONGABONG

Original Issue Date

01/20/1969

Effective Date

05/22/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021