MARY THERESE PETRELLA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

INACTIVE

Business

First Name

MARY

Middle

THERESE

Last Name

PETRELLA

Business Name

MARY THERESE PETRELLA

Original Issue Date

08/01/2001

Effective Date

05/13/2022

Expiration Date

05/31/2024

City

MINOOKA

State

Zip

60447

County

WILL

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

05/13/2022