EPIFANIA D BONGABONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129745

License Status

NOT RENEWED

Business

First Name

EPIFANIA D

Last Name

BONGABONG

Business Name

EPIFANIA D BONGABONG

Original Issue Date

01/20/1969

Effective Date

05/22/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021