ASSIBA LEA FANDOHAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041459284

License Status

ACTIVE

Business

First Name

ASSIBA

Middle

LEA

Last Name

FANDOHAN

Business Name

ASSIBA LEA FANDOHAN

Original Issue Date

10/17/2017

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

HAZEL CREST

State

Zip

60429

Ever Disciplined

LastModifiedDate

02/28/2026