MARITTA A PENEGOR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004371

License Status

NOT RENEWED

Business

First Name

MARITTA A

Last Name

PENEGOR

Business Name

MARITTA A PENEGOR

Original Issue Date

07/08/2002

Effective Date

07/30/2022

Expiration Date

06/30/2024

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

02/05/2025