PENIE M WYATT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104697

License Status

NOT RENEWED

Business

First Name

PENIE

Middle

Last Name

WYATT

Business Name

PENIE M WYATT

Original Issue Date

10/29/2007

Effective Date

11/08/2012

Expiration Date

01/31/2015

City

ODENVILLE

State

Zip

35120

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/09/2015