LISA MARIE PETRONGELLI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

INACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

PETRONGELLI

Business Name

LISA MARIE PETRONGELLI

Original Issue Date

11/21/2003

Effective Date

06/10/2020

Expiration Date

05/31/2022

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

06/10/2020