DONNA JEAN PETKO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

INACTIVE

Business

First Name

DONNA

Middle

JEAN

Last Name

PETKO

Business Name

DONNA JEAN PETKO

Original Issue Date

05/05/2016

Effective Date

08/03/2020

Expiration Date

05/31/2022

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

08/03/2020