SALLY LEE MOMBERGER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041153280

License Status

INACTIVE

Business

First Name

SALLY LEE

Last Name

MOMBERGER

Business Name

SALLY LEE MOMBERGER

Original Issue Date

01/21/1974

Effective Date

04/04/2012

Expiration Date

05/31/2014

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

03/06/2014