License Information
License Number
041373325Business Name
MARISA HENNALicense Type
NURSING BOARDOriginal Issue Date
2008-12-30License Status
NOT RENEWEDCity
VANDALIAState
ILCounty
FAYETTEPost
62471Update Date
2022-05-04Business
NEffective Date
05/01/2018Expiration Date
09/30/2020Ever Disciplined
NLastModifiedDate
01/14/2021Registered Location
Peripheral Licensees
- FLEETA MATTES VANDALIA, IL 62471
- RICHARD M GOVAIA VANDALIA, IL 62471
- VIVIAN DORIS POWERS VANDALIA, IL 62471
- GOLDIA A JONES VANDALIA, IL 62471
- EDNA L JETT VANDALIA, IL 62471
- ETHAN NELSON JONES VANDALIA, IL 62471
- CONFIDENCE MEDICAL ASSOCIATES LTD VANDALIA, IL 62471
- TAMMY B WOOLSEY VANDALIA, IL 62471
- MARIE V DEAN VANDALIA, IL 62471
- TELISA S NANCE VANDALIA, IL 62471