JOSE M PENA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041312057

License Status

ACTIVE

Business

First Name

JOSE

Middle

Last Name

PENA

Business Name

JOSE M PENA

Original Issue Date

10/15/1998

Effective Date

04/05/2024

Expiration Date

05/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

02/28/2026

Case Number

2017005446

Action

Suspension

Discipline Start Date

08/18/2017

Discipline End Date

04/12/2018

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 04/16/2018.