ELLEN G BONGABONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041186745

License Status

NOT RENEWED

Business

First Name

ELLEN G

Last Name

BONGABONG

Business Name

ELLEN G BONGABONG

Original Issue Date

02/20/1979

Effective Date

02/20/1979

City

DETROIT

State

Zip

48207

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/27/2006