JAMIE DE LEON BONGALON - Registered Nurse License in Illinois | # 041447119

JAMIE DE LEON BONGALON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041447119

License Status

NOT RENEWED

Business

N

First Name

JAMIE

Middle

DE LEON

Last Name

BONGALON

Business Name

JAMIE DE LEON BONGALON

Original Issue Date

10/12/2016

Effective Date

05/21/2020

Expiration Date

08/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2022