FONDA R PEDERSEN DDS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041220653

License Status

NOT RENEWED

Business

First Name

FONDA R

Last Name

PEDERSEN

Suffix

DDS

Business Name

FONDA R PEDERSEN DDS

Original Issue Date

11/08/1983

Effective Date

11/08/1983

Expiration Date

05/31/1990

City

ELMWOOD PARK

State

Zip

60635

County

COOK

Ever Disciplined

LastModifiedDate

08/03/2018