FAZALI M NKOLOMA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043117996

License Status

NOT RENEWED

Business

First Name

FAZALI

Middle

Last Name

NKOLOMA

Business Name

FAZALI M NKOLOMA

Original Issue Date

11/05/2013

Effective Date

12/13/2018

Expiration Date

01/31/2021

City

HOFFMAN ESTATES

State

Zip

60169

Ever Disciplined

LastModifiedDate

03/11/2021