VINCENZA M PETKOVSEK Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

INOPERATIVE

Business

First Name

VINCENZA M

Last Name

PETKOVSEK

Business Name

VINCENZA M PETKOVSEK

Original Issue Date

09/25/2008

Effective Date

05/23/2012

Expiration Date

05/31/2014

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

05/22/2012