DONNA J PENA Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003421

License Status

INACTIVE

Business

First Name

DONNA J

Last Name

PENA

Business Name

DONNA J PENA

Original Issue Date

07/27/1987

Expiration Date

11/30/1993

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

05/27/2005