BAN IAN POLE BITONG PALOGAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041435936

License Status

NOT RENEWED

Business

First Name

BAN IAN POLE

Middle

BITONG

Last Name

PALOGAN

Business Name

BAN IAN POLE BITONG PALOGAN

Original Issue Date

10/16/2015

Effective Date

04/14/2016

Expiration Date

05/31/2018

City

TUSTIN

State

Zip

92780

Ever Disciplined

LastModifiedDate

07/19/2018