MOONLIT C SUPANGAN - Registered Nurse License in Illinois | # 041364908

MOONLIT C SUPANGAN

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041364908

License Status

ACTIVE

Business

N

First Name

MOONLIT

Middle

C

Last Name

SUPANGAN

Business Name

MOONLIT C SUPANGAN

Original Issue Date

11/13/2007

Effective Date

03/21/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

02/28/2026