MARY ANN PENA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041211330

License Status

INACTIVE

Business

First Name

MARY ANN

Last Name

PENA

Business Name

MARY ANN PENA

Original Issue Date

11/04/1982

Effective Date

11/04/1982

Expiration Date

05/31/2006

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/09/2006