GRACE PENCE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021223

License Status

NOT RENEWED

Business

First Name

GRACE

Last Name

PENCE

Business Name

GRACE PENCE

Original Issue Date

12/07/1967

Expiration Date

01/31/1993

City

SHAWANO

State

Zip

54166

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005