TAMARA L PENNELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071094

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

PENNELL

Business Name

TAMARA L PENNELL

Original Issue Date

01/16/1992

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

ROODHOUSE

State

Zip

62082

County

GREENE

Ever Disciplined

LastModifiedDate

10/15/2005