PENNY A ALT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041246209

License Status

INACTIVE

Business

First Name

PENNY A

Last Name

ALT

Business Name

PENNY A ALT

Original Issue Date

11/26/1987

Effective Date

11/26/1987

Expiration Date

05/31/1992

City

FORT WAYNE

State

Zip

46804

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006