BLASSIUS F ATABONGAWUNG Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043134796

License Status

ACTIVE

Business

First Name

BLASSIUS

Middle

Last Name

ATABONGAWUNG

Business Name

BLASSIUS F ATABONGAWUNG

Original Issue Date

12/12/2023

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

EVANSTON

State

Zip

60201

Ever Disciplined

LastModifiedDate

11/01/2024