NamePENNIE MARIE GRAY
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
COA.02451-NS Clinical Nurse Specialist 08/21/1997 09/01/2007 08/31/2009 LAPSED
CTP.02451-EX1 Prescriptive Authority - Externship 02/26/2004 02/26/2004 02/26/2005 INACTIVE
CTP.02451- Prescriptive Authority 01/31/2005 07/19/2007 08/31/2009 LAPSED
RN.187429-1 Registered Nurse-1 Certificate of Authority 09/30/1983 07/19/2007 08/31/2009 LAPSED Endorsement

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