LILY JANE M BERENA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041346064

License Status

NOT RENEWED

Business

First Name

LILY

Middle

JANE M

Last Name

BERENA

Business Name

LILY JANE M BERENA

Original Issue Date

05/11/2005

Effective Date

04/19/2018

Expiration Date

09/30/2020

City

FAIRFIELD

State

Zip

94534

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021