MARILOU L PENA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

NOT RENEWED

Business

First Name

MARILOU L

Last Name

PENA

Business Name

MARILOU L PENA

Original Issue Date

04/22/2008

Effective Date

04/22/2008

Expiration Date

05/31/2010

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

08/11/2010