JOHN GLENN STA ANA ILOG - Registered Nurse License in Pennsylvania | # 041436761

JOHN GLENN STA ANA ILOG

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041436761

License Status

INACTIVE

Business

N

First Name

JOHN GLENN

Middle

STA ANA

Last Name

ILOG

Business Name

JOHN GLENN STA ANA ILOG

Original Issue Date

11/24/2015

Effective Date

03/14/2018

Expiration Date

09/30/2020

State

PA

Ever Disciplined

N

LastModifiedDate

03/08/2020