MARITTA A PENEGOR - Advanced Practice Nurse License in Indiana | # 30*****80

MARITTA A PENEGOR

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

NOT RENEWED

Business

N

First Name

MARITTA A

Last Name

PENEGOR

Business Name

MARITTA A PENEGOR

Original Issue Date

07/08/2002

Effective Date

07/30/2022

Expiration Date

06/30/2024

State

IN

Ever Disciplined

N

LastModifiedDate

02/05/2025