MICHAEL OTIENO GUMBO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041457640

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

OTIENO

Last Name

GUMBO

Business Name

MICHAEL OTIENO GUMBO

Original Issue Date

08/30/2017

Effective Date

04/30/2018

Expiration Date

09/30/2020

City

ROUND LAKE BEACH

State

Zip

60073

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021