PENNY D ATTAWAY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

INACTIVE

Business

First Name

PENNY D

Last Name

ATTAWAY

Business Name

PENNY D ATTAWAY

Original Issue Date

09/13/2001

Effective Date

04/13/2020

Expiration Date

05/31/2022

City

GREENVILLE

State

Zip

62246

County

BOND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2020