BLAISE MUMBUDIWI GWELLEM Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041433091

License Status

ACTIVE

Business

First Name

BLAISE

Middle

MUMBUDIWI

Last Name

GWELLEM

Business Name

BLAISE MUMBUDIWI GWELLEM

Original Issue Date

07/28/2015

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

03/02/2026