MARVIN M NGOMA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043110314

License Status

NOT RENEWED

Business

First Name

MARVIN

Middle

Last Name

NGOMA

Business Name

MARVIN M NGOMA

Original Issue Date

05/07/2010

Effective Date

01/07/2011

Expiration Date

01/31/2013

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

03/20/2013