DIVINE GRACE A TONGOL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339128

License Status

NOT RENEWED

Business

First Name

DIVINE GRACE

Middle

Last Name

TONGOL

Business Name

DIVINE GRACE A TONGOL

Original Issue Date

02/23/2004

Effective Date

04/21/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016