LAURA BETH PETHAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012238

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

BETH

Last Name

PETHAN

Business Name

LAURA BETH PETHAN

Original Issue Date

11/24/2014

Effective Date

04/08/2016

Expiration Date

05/31/2018

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/19/2018