PENNY L RAVN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041122260

License Status

INACTIVE

Business

First Name

PENNY L

Last Name

RAVN

Business Name

PENNY L RAVN

Original Issue Date

08/21/1967

Effective Date

03/15/2010

Expiration Date

05/31/2012

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/27/2025