NANCY L PENDERGRASS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043038038

License Status

NOT RENEWED

Business

First Name

NANCY L

Last Name

PENDERGRASS

Business Name

NANCY L PENDERGRASS

Original Issue Date

10/17/1975

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005