MARTHA L HERZOG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041183365

License Status

NOT RENEWED

Business

First Name

MARTHA L

Last Name

HERZOG

Business Name

MARTHA L HERZOG

Original Issue Date

10/16/1978

Effective Date

06/23/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022