FELIX N FONGE Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****35

License Status

INOPERATIVE

Business

First Name

FELIX

Middle

Last Name

FONGE

Business Name

FELIX N FONGE

Original Issue Date

01/06/2015

Effective Date

01/06/2015

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2014