License holder summary

MARY ALICE T PENA is a Licensed Practical Nurse licensed to practice in Indiana. The address on file for MARY ALICE T PENA is WHITING IN 46394. This nurse license is not current. The license was granted 01/01/1969 and expired on 10/31/2004.

Indiana

State Board of Nursing

MARY ALICE T PENA
Licensed Practical Nurse
License number
27008437A
Date granted
01/01/1969
Date expires
10/31/2004
Class
Licensed Practical Nurse
Status
Expired
Address
WHITING IN 46394
nursingindiana.org
ID 7234966
LAST UPDATED 2024-03-19 16:13:15 UTC

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