WILSON GACHUGU NDUNGU Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

NOT RENEWED

Business

First Name

WILSON

Middle

GACHUGU

Last Name

NDUNGU

Business Name

WILSON GACHUGU NDUNGU

Original Issue Date

09/24/2020

Effective Date

05/03/2022

Expiration Date

06/30/2024

City

HAZELWOOD

State

Zip

63042

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025