MARITTA A PENEGOR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

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