MARITTA A PENEGOR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041210941

License Status

NOT RENEWED

Business

First Name

MARITTA A

Last Name

PENEGOR

Business Name

MARITTA A PENEGOR

Original Issue Date

11/04/1982

Effective Date

07/30/2022

Expiration Date

06/30/2024

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

02/05/2025