FALLAN HERZOG Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041400680

License Status

ACTIVE

Business

First Name

FALLAN

Last Name

HERZOG

Business Name

FALLAN HERZOG

Original Issue Date

04/05/2012

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2026