LARA ANN PENN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021783

License Status

NOT RENEWED

Business

First Name

LARA

Middle

ANN

Last Name

PENN

Business Name

LARA ANN PENN

Original Issue Date

08/05/2020

Effective Date

05/04/2022

Expiration Date

06/30/2024

City

DARDENNE PRAIRIE

State

Zip

63368

Ever Disciplined

LastModifiedDate

02/05/2025