O CONSTANCE PENDERGAST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041103248

License Status

NOT RENEWED

Business

First Name

O CONSTANCE

Last Name

PENDERGAST

Business Name

O CONSTANCE PENDERGAST

Original Issue Date

06/06/1962

Effective Date

06/06/1962

Expiration Date

05/31/1988

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006