KODZO TITA PONGO Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041330665

License Status

ACTIVE

Business

First Name

KODZO

Middle

TITA

Last Name

PONGO

Business Name

KODZO TITA PONGO

Original Issue Date

07/17/2002

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

02/28/2026