ANTONETTE LANE PENDERGAST Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041171039

License Status

ACTIVE

Business

First Name

ANTONETTE LANE

Last Name

PENDERGAST

Business Name

ANTONETTE LANE PENDERGAST

Original Issue Date

11/01/1976

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

03/03/2026