IMELDA D BONGOLAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041266103

License Status

NOT RENEWED

Business

First Name

IMELDA D

Last Name

BONGOLAN

Business Name

IMELDA D BONGOLAN

Original Issue Date

12/04/1991

Effective Date

12/04/1991

Expiration Date

05/31/2006

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

10/09/2006