JAMIE DE LEON BONGALON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041447119

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

DE LEON

Last Name

BONGALON

Business Name

JAMIE DE LEON BONGALON

Original Issue Date

10/12/2016

Effective Date

05/21/2020

Expiration Date

08/31/2022

City

PEORIA

State

Zip

61602

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/14/2022