MADELINE PENDERGRASS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041159864

License Status

INACTIVE

Business

First Name

MADELINE

Last Name

PENDERGRASS

Business Name

MADELINE PENDERGRASS

Original Issue Date

02/13/1975

Effective Date

02/13/1975

Expiration Date

05/01/1982

City

BROKEN ARROW

State

Zip

74012

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

09/27/2006