CHRYSOGONUS NGONGCHIA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

ACTIVE

Business

First Name

CHRYSOGONUS

Last Name

NGONGCHIA

Business Name

CHRYSOGONUS NGONGCHIA

Original Issue Date

08/26/2025

Effective Date

08/26/2025

Expiration Date

05/31/2026

City

ORLAND PARK

State

Zip

60467

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026