PATRICIA A HARTOG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012157

License Status

INACTIVE

Business

First Name

PATRICIA A

Last Name

HARTOG

Business Name

PATRICIA A HARTOG

Original Issue Date

04/21/1964

Expiration Date

01/31/1997

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005