LESLY O CHITTAVONG Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041497612

License Status

ACTIVE

Business

First Name

LESLY

Middle

Last Name

CHITTAVONG

Business Name

LESLY O CHITTAVONG

Original Issue Date

07/22/2020

Effective Date

11/25/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/28/2026