SYLVERE R MALONGA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

ACTIVE

Business

First Name

SYLVERE R

Last Name

MALONGA

Business Name

SYLVERE R MALONGA

Original Issue Date

06/19/2020

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

BOLINGBROOK

State

Zip

60490

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026