MOONLIT C SUPANGAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041364908

License Status

ACTIVE

Business

First Name

MOONLIT

Middle

Last Name

SUPANGAN

Business Name

MOONLIT C SUPANGAN

Original Issue Date

11/13/2007

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

JOLIET

State

Zip

60432

County

WILL

Ever Disciplined

LastModifiedDate

02/28/2026