DIANA S PENDERGAST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041084933

License Status

NOT RENEWED

Business

First Name

DIANA S

Last Name

PENDERGAST

Business Name

DIANA S PENDERGAST

Original Issue Date

10/26/1956

Effective Date

10/26/1956

Expiration Date

05/31/1984

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/27/2006