IDHA M MOHUNGU Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043106509

License Status

INACTIVE

Business

First Name

IDHA

Middle

Last Name

MOHUNGU

Business Name

IDHA M MOHUNGU

Original Issue Date

09/10/2008

Effective Date

01/11/2011

Expiration Date

01/31/2013

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/08/2012