GRACE C FOGATA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041243777

License Status

ACTIVE

Business

First Name

GRACE C

Last Name

FOGATA

Business Name

GRACE C FOGATA

Original Issue Date

10/02/1987

Effective Date

03/15/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60608

Ever Disciplined

LastModifiedDate

03/15/2026