MARY LISA PENILLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041316707

License Status

NOT RENEWED

Business

First Name

MARY

Middle

LISA

Last Name

PENILLA

Business Name

MARY LISA PENILLA

Original Issue Date

09/21/1999

Effective Date

09/21/1999

Expiration Date

05/31/2006

City

ST LOUIS

State

Zip

63118

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006