MOLLY A PRENDERGAST Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

ACTIVE

Business

First Name

MOLLY

Middle

Last Name

PRENDERGAST

Business Name

MOLLY A PRENDERGAST

Original Issue Date

05/12/2022

Effective Date

04/28/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026