GAYLE M BONGARTZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123869

License Status

NOT RENEWED

Business

First Name

GAYLE M

Last Name

BONGARTZ

Business Name

GAYLE M BONGARTZ

Original Issue Date

11/02/1967

Effective Date

11/02/1967

Expiration Date

05/31/2006

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006