PENELOPE E KENNEDY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

NOT RENEWED

Business

First Name

PENELOPE E

Last Name

KENNEDY

Business Name

PENELOPE E KENNEDY

Original Issue Date

12/12/2001

Effective Date

12/12/2001

Expiration Date

05/31/2004

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006