IMAOBONG P UDONKANG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

ACTIVE

Business

First Name

IMAOBONG

Middle

Last Name

UDONKANG

Business Name

IMAOBONG P UDONKANG

Original Issue Date

09/08/2024

Effective Date

09/08/2024

Expiration Date

05/31/2026

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026