GUSTAVO PENA - Registered Nurse License in Pennsylvania | # 041351462

GUSTAVO PENA

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041351462

License Status

INACTIVE

Business

N

First Name

GUSTAVO

Last Name

PENA

Business Name

GUSTAVO PENA

Original Issue Date

03/10/2006

Effective Date

03/10/2006

Expiration Date

05/31/2008

State

PA

Ever Disciplined

N

LastModifiedDate

03/11/2008