ELLEN G BONGABONG - Registered Nurse License in Michigan | # 041186745

ELLEN G BONGABONG

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041186745

License Status

NOT RENEWED

Business

N

First Name

ELLEN G

Last Name

BONGABONG

Business Name

ELLEN G BONGABONG

Original Issue Date

02/20/1979

Effective Date

02/20/1979

State

MI

Ever Disciplined

N

LastModifiedDate

09/27/2006