TOBI G PELLEGRINO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

NOT RENEWED

Business

First Name

TOBI

Middle

Last Name

PELLEGRINO

Business Name

TOBI G PELLEGRINO

Original Issue Date

07/24/2002

Effective Date

07/24/2002

Expiration Date

05/31/2004

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006