RUTH DOMAZET TANGONAN MD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041379643

License Status

NOT RENEWED

Business

Title

First Name

RUTH

Middle

DOMAZET

Last Name

TANGONAN

Business Name

RUTH DOMAZET TANGONAN MD

Original Issue Date

09/08/2009

Effective Date

05/03/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018