JUDITH MONGOUM PENE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020328

License Status

ACTIVE

Business

First Name

JUDITH

Last Name

MONGOUM PENE

Business Name

JUDITH MONGOUM PENE

Original Issue Date

10/29/2019

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026