SUSAN JO PENKALA GROMOSHAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040804

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

PENKALA GROMOSHAK

Business Name

SUSAN JO PENKALA GROMOSHAK

Original Issue Date

02/02/1977

Expiration Date

01/31/1993

City

SAVANNAH

State

Zip

31419

Ever Disciplined

LastModifiedDate

10/21/2005