Wisconsin
Department of Safety and Professional Services
Black, Penny Lee
Registered Nurse
License number
108704-30
Date granted
11/22/1991
Date expires
02/28/2010
Class
Registered Nurse
Status
Expired
nursingwisconsin.org
ID 35786565
LAST UPDATED 2026-05-13 07:57:50 UTC
LAST UPDATED 2026-05-13 07:57:50 UTC
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