JILL SUZANNE PETONOVICH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004646

License Status

NOT RENEWED

Business

First Name

JILL

Middle

SUZANNE

Last Name

PETONOVICH

Business Name

JILL SUZANNE PETONOVICH

Original Issue Date

03/10/2003

Effective Date

03/10/2003

Expiration Date

05/31/2006

City

MIAMI

State

Zip

33133

County

FLORIDA

Ever Disciplined

LastModifiedDate

06/09/2008