GODWIN N AGBONGHAE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087535

License Status

NOT RENEWED

Business

First Name

GODWIN

Middle

Last Name

AGBONGHAE

Business Name

GODWIN N AGBONGHAE

Original Issue Date

07/30/2002

Effective Date

01/17/2019

Expiration Date

01/31/2021

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2021