JED DERIC PAGUNTALAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043129213

License Status

ACTIVE

Business

First Name

JED

Middle

DERIC

Last Name

PAGUNTALAN

Business Name

JED DERIC PAGUNTALAN

Original Issue Date

08/20/2020

Effective Date

01/20/2025

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60641

Ever Disciplined

LastModifiedDate

01/20/2025