O CONSTANCE PENDERGAST - Registered Nurse License in Illinois | # 041103248

O CONSTANCE PENDERGAST

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041103248

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006