SOPHIE NANYONGO MBUA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

NOT RENEWED

Business

First Name

SOPHIE

Middle

NANYONGO

Last Name

MBUA

Business Name

SOPHIE NANYONGO MBUA

Original Issue Date

01/22/2020

Effective Date

06/02/2020

Expiration Date

08/31/2022

City

WAUKEGAN

State

Zip

60085

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022