LISA MARIE PETRONGELLI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004881

License Status

INACTIVE

Business

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

City

BARRINGTON HILLS

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

06/10/2020