HOLLY D PENNELL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

INACTIVE

Business

First Name

HOLLY

Middle

Last Name

PENNELL

Business Name

HOLLY D PENNELL

Original Issue Date

03/04/2020

Effective Date

03/04/2020

Expiration Date

05/31/2022

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

03/03/2020