THOMAS MARK PENDERGRASS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041186482

License Status

INACTIVE

Business

First Name

THOMAS MARK

Last Name

PENDERGRASS

Business Name

THOMAS MARK PENDERGRASS

Original Issue Date

12/12/1978

Effective Date

12/12/1978

City

CHATTANOOGA

State

Zip

37415

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/27/2006