THERESA ANN PENBERTHY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193697

License Status

INACTIVE

Business

First Name

THERESA ANN

Last Name

PENBERTHY

Business Name

THERESA ANN PENBERTHY

Original Issue Date

11/08/1979

Effective Date

11/08/1979

Expiration Date

05/01/1982

City

LEWISTON

State

Zip

83501

County

IDAHO

Ever Disciplined

LastModifiedDate

09/27/2006