JACQUELINE M PENDERGRASS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123708

License Status

NOT RENEWED

Business

First Name

JACQUELINE M

Last Name

PENDERGRASS

Business Name

JACQUELINE M PENDERGRASS

Original Issue Date

11/02/1967

Effective Date

11/02/1967

City

CHICAGO HEIGHTS

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006