PENELOPE S BUSCH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

NOT RENEWED

Business

First Name

PENELOPE S

Last Name

BUSCH

Business Name

PENELOPE S BUSCH

Original Issue Date

06/04/2001

Effective Date

06/04/2001

Expiration Date

05/31/2006

City

GRANVILLE

State

Zip

61326

County

PUTNAM

Ever Disciplined

LastModifiedDate

10/09/2006