MARY THERESE PETRELLA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001616

License Status

INACTIVE

Business

First Name

MARY

Middle

THERESE

Last Name

PETRELLA

Business Name

MARY THERESE PETRELLA

Original Issue Date

06/25/2001

Effective Date

05/13/2022

Expiration Date

05/31/2024

City

MINOOKA

State

Zip

60447

County

WILL

Ever Disciplined

LastModifiedDate

05/13/2022