MOLLY A PRENDERGAST Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

Last Name

PRENDERGAST

Business Name

MOLLY A PRENDERGAST

Original Issue Date

10/10/2018

Effective Date

05/07/2020

Expiration Date

08/31/2022

City

MOKENA

State

Zip

60448

County

WILL

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

10/14/2022