STEPHANIE M PETITGOUT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043091108

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

PETITGOUT

Business Name

STEPHANIE M PETITGOUT

Original Issue Date

03/01/2005

Effective Date

03/01/2005

Expiration Date

01/31/2007

City

LANTANA

State

Zip

33462

County

FLORIDA

Ever Disciplined

LastModifiedDate

03/16/2007