GLADYS MARIE QUATING PENA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041296273

License Status

NOT RENEWED

Business

First Name

GLADYS MARIE

Middle

QUATING

Last Name

PENA

Business Name

GLADYS MARIE QUATING PENA

Original Issue Date

04/06/1996

Effective Date

05/14/2012

Expiration Date

05/31/2014

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/03/2014