NOEMI S FUNGO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041395575

License Status

NOT RENEWED

Business

First Name

NOEMI

Middle

Last Name

FUNGO

Business Name

NOEMI S FUNGO

Original Issue Date

08/17/2011

Effective Date

04/16/2014

Expiration Date

05/31/2016

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2016