DONNA J PETLOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041225466

License Status

NOT RENEWED

Business

First Name

DONNA J

Last Name

PETLOCK

Business Name

DONNA J PETLOCK

Original Issue Date

10/09/1984

Effective Date

10/09/1984

Expiration Date

05/31/2000

City

LARGO

State

Zip

33771

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/27/2006