MICHAELINE PENKIVICH - Registered Nurse License in Wyoming | # 041183594

MICHAELINE PENKIVICH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041183594

License Status

NOT RENEWED

Business

N

First Name

MICHAELINE

Last Name

PENKIVICH

Business Name

MICHAELINE PENKIVICH

Original Issue Date

10/16/1978

Effective Date

10/16/1978

Expiration Date

05/31/1988

State

WY

Ever Disciplined

N

LastModifiedDate

09/27/2006