MARY A PENA - Registered Nurse License in Indiana | # 043035166

MARY A PENA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035166

License Status

NOT RENEWED

Business

N

First Name

MARY A

Last Name

PENA

Business Name

MARY A PENA

Original Issue Date

08/06/1974

Expiration Date

01/31/1999

State

IN

Ever Disciplined

Y

LastModifiedDate

05/27/2005

Case Number

1989001177

Action

Fine

Discipline Start Date

09/29/1989