LISA NICOLE PENA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018064

License Status

INACTIVE

Business

First Name

LISA

Middle

NICOLE

Last Name

PENA

Business Name

LISA NICOLE PENA

Original Issue Date

09/11/2018

Effective Date

05/06/2022

Expiration Date

05/31/2024

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2022