SHANTAE R HARTZOG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087775

License Status

NOT RENEWED

Business

First Name

SHANTAE

Middle

Last Name

HARTZOG

Business Name

SHANTAE R HARTZOG

Original Issue Date

09/26/2002

Effective Date

01/29/2009

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2011