TATIANA MADEP GONEZOCK NNOUNG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043119440

License Status

NOT RENEWED

Business

First Name

TATIANA

Middle

MADEP

Last Name

GONEZOCK NNOUNG

Business Name

TATIANA MADEP GONEZOCK NNOUNG

Original Issue Date

09/09/2014

Effective Date

01/23/2017

Expiration Date

01/31/2019

City

CHAMPAIGN

State

Zip

61800

Ever Disciplined

LastModifiedDate

03/28/2019