TRACY F PAGENDARM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041196121

License Status

NOT RENEWED

Business

First Name

TRACY F

Last Name

PAGENDARM

Business Name

TRACY F PAGENDARM

Original Issue Date

06/26/1980

Effective Date

03/22/2012

Expiration Date

05/31/2014

City

LISLE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/03/2014