AXEL T BARONGAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041333515

License Status

NOT RENEWED

Business

First Name

AXEL

Middle

Last Name

BARONGAN

Business Name

AXEL T BARONGAN

Original Issue Date

12/12/2002

Effective Date

12/12/2002

Expiration Date

05/31/2008

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

07/11/2008