PHYLLIS A PETEK - Registered Nurse License in Michigan | # 041111092

PHYLLIS A PETEK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111092

License Status

INACTIVE

Business

N

First Name

PHYLLIS A

Last Name

PETEK

Business Name

PHYLLIS A PETEK

Original Issue Date

10/09/1964

Effective Date

10/09/1964

Expiration Date

05/31/1988

State

MI

Ever Disciplined

N

LastModifiedDate

09/27/2006