MARLO N PANGANIBAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084224

License Status

NOT RENEWED

Business

First Name

MARLO

Middle

Last Name

PANGANIBAN

Business Name

MARLO N PANGANIBAN

Original Issue Date

10/21/1999

Effective Date

11/10/2004

Expiration Date

01/31/2007

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/16/2007