ROBERT PETKOFSKI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

NOT RENEWED

Business

First Name

ROBERT

Last Name

PETKOFSKI

Business Name

ROBERT PETKOFSKI

Original Issue Date

06/10/2015

Effective Date

06/10/2015

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016