DEBRA JEAN PENGELLEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199487

License Status

NOT RENEWED

Business

First Name

DEBRA JEAN

Last Name

PENGELLEY

Business Name

DEBRA JEAN PENGELLEY

Original Issue Date

11/17/1980

Effective Date

05/26/2020

Expiration Date

08/31/2022

City

WAUKESHA

State

Zip

53188

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2022