LISA NICOLE PENA

Business Entity
ACTIVE

Advanced Practice Nurse

FULL PRACTICE AUTHORITY APRN CONTROL SUB

37*****02

ACTIVE

N

LISA

NICOLE

PENA

LISA NICOLE PENA

12/08/2022

03/09/2024

05/31/2026

ITASCA

IL

60143

DUPAGE

N

03/02/2026