VIVIAN A NDANGOH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

ACTIVE

Business

First Name

VIVIAN

Middle

Last Name

NDANGOH

Business Name

VIVIAN A NDANGOH

Original Issue Date

06/02/2023

Effective Date

03/14/2026

Expiration Date

05/31/2028

City

GILMAN

State

Zip

60938

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/14/2026