PENNY L WAY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062013

License Status

INACTIVE

Business

First Name

PENNY

Middle

Last Name

WAY

Business Name

PENNY L WAY

Original Issue Date

01/10/1986

Effective Date

01/03/2019

Expiration Date

01/31/2021

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

11/08/2020