CHARLOTTE NOUGOUAPI PAULINE DJOMGOUE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

ACTIVE

Business

First Name

CHARLOTTE

Middle

NOUGOUAPI PAULINE

Last Name

DJOMGOUE

Business Name

CHARLOTTE NOUGOUAPI PAULINE DJOMGOUE

Original Issue Date

10/01/2023

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61606

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026