CONCEPCION GUMABONG - Registered Nurse License in Illinois | # 041124117

CONCEPCION GUMABONG

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041124117

License Status

INACTIVE

Business

N

First Name

CONCEPCION

Last Name

GUMABONG

Business Name

CONCEPCION GUMABONG

Original Issue Date

11/20/1961

Effective Date

04/13/2012

Expiration Date

05/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

03/06/2014