ANDREA BANOUVONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041411197

License Status

NOT RENEWED

Business

First Name

ANDREA

Last Name

BANOUVONG

Business Name

ANDREA BANOUVONG

Original Issue Date

07/02/2013

Effective Date

05/05/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016