CERES K KANGOU Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

INACTIVE

Business

First Name

CERES

Middle

Last Name

KANGOU

Business Name

CERES K KANGOU

Original Issue Date

05/01/2019

Effective Date

08/02/2022

Expiration Date

05/31/2024

City

OAK BROOK

State

Zip

60523

County

WILL

Ever Disciplined

LastModifiedDate

08/02/2022