PENNY S VERCIMAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041253207

License Status

INACTIVE

Business

First Name

PENNY S

Last Name

VERCIMAK

Business Name

PENNY S VERCIMAK

Original Issue Date

08/18/1989

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/08/2020