PENNY A ISHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042693

License Status

NOT RENEWED

Business

First Name

PENNY

Middle

Last Name

ISHAM

Business Name

PENNY A ISHAM

Original Issue Date

02/14/1978

Expiration Date

01/31/1995

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005