CYRIL S BONGAT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041153349

License Status

NOT RENEWED

Business

First Name

CYRIL S

Last Name

BONGAT

Business Name

CYRIL S BONGAT

Original Issue Date

02/22/1974

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

08/16/2010