MARILOU L PENA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005172

License Status

ACTIVE

Business

First Name

MARILOU L

Last Name

PENA

Business Name

MARILOU L PENA

Original Issue Date

06/28/2004

Effective Date

03/26/2024

Expiration Date

05/31/2026

City

PALOS HILLS

State

Zip

60465

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026