MADALYN FOGARTY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043034086

License Status

NOT RENEWED

Business

First Name

MADALYN

Last Name

FOGARTY

Business Name

MADALYN FOGARTY

Original Issue Date

02/22/1974

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

HARWOOD HEIGHTS

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005