LISA MARIE PETRONGELLI - Advanced Practice Nurse License in Illinois | # 209004881

LISA MARIE PETRONGELLI

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004881

License Status

INACTIVE

Business

N

First Name

LISA

Middle

MARIE

Last Name

PETRONGELLI

Business Name

LISA MARIE PETRONGELLI

Original Issue Date

11/03/2003

Effective Date

06/10/2020

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

06/10/2020