ATHENA M LOGERQUIST Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089371

License Status

INACTIVE

Business

First Name

ATHENA

Middle

Last Name

LOGERQUIST

Business Name

ATHENA M LOGERQUIST

Original Issue Date

12/16/2003

Effective Date

12/17/2004

Expiration Date

01/31/2005

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005