PENNY J LANE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041298316

License Status

NOT RENEWED

Business

First Name

PENNY J

Last Name

LANE

Business Name

PENNY J LANE

Original Issue Date

08/08/1996

Effective Date

03/06/2018

Expiration Date

09/30/2020

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/14/2021