DELLA D HERZOG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041115010

License Status

NOT RENEWED

Business

First Name

DELLA D

Last Name

HERZOG

Business Name

DELLA D HERZOG

Original Issue Date

10/04/1965

Effective Date

03/17/2010

Expiration Date

05/31/2012

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012