MIRANDA W SOEGOMO Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041508021

License Status

ACTIVE

Business

First Name

MIRANDA

Middle

Last Name

SOEGOMO

Business Name

MIRANDA W SOEGOMO

Original Issue Date

04/07/2021

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

NAPERVILLE

State

Zip

60540

Ever Disciplined

LastModifiedDate

03/01/2026