JOSEFINA L PENALOZA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041122477

License Status

INACTIVE

Business

First Name

JOSEFINA L

Last Name

PENALOZA

Business Name

JOSEFINA L PENALOZA

Original Issue Date

09/05/1967

Effective Date

09/05/1967

Expiration Date

05/31/1994

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006