SU ANN PRENDERGAST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199629

License Status

NOT RENEWED

Business

First Name

SU ANN

Last Name

PRENDERGAST

Business Name

SU ANN PRENDERGAST

Original Issue Date

11/17/1980

Effective Date

05/06/2010

Expiration Date

05/31/2012

City

COBDEN

State

Zip

62920

County

UNION

Ever Disciplined

LastModifiedDate

07/10/2012