GUSTAVO PENA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041351462

License Status

INACTIVE

Business

First Name

GUSTAVO

Last Name

PENA

Business Name

GUSTAVO PENA

Original Issue Date

03/10/2006

Effective Date

03/10/2006

Expiration Date

05/31/2008

City

ARDMORE

State

Zip

19003

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

03/11/2008