KATHLEEN M PENFOLD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134991

License Status

INACTIVE

Business

First Name

KATHLEEN M

Last Name

PENFOLD

Business Name

KATHLEEN M PENFOLD

Original Issue Date

04/10/1970

Effective Date

04/10/1970

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006