PENNY LEE GENUNG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032709

License Status

INACTIVE

Business

First Name

PENNY LEE

Last Name

GENUNG

Business Name

PENNY LEE GENUNG

Original Issue Date

02/14/1973

Effective Date

12/12/2012

Expiration Date

01/31/2015

City

CORDOVA

State

Zip

61242

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/07/2014