SUZETTE OLIVA BONGABONG Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041448159

License Status

ACTIVE

Business

First Name

SUZETTE

Middle

OLIVA

Last Name

BONGABONG

Business Name

SUZETTE OLIVA BONGABONG

Original Issue Date

11/30/2016

Effective Date

04/04/2024

Expiration Date

05/31/2026

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/01/2026