DORIS J PETTIFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041090917

License Status

NOT RENEWED

Business

First Name

DORIS

Middle

Last Name

PETTIFORD

Business Name

DORIS J PETTIFORD

Original Issue Date

10/14/1958

Effective Date

10/14/1958

Expiration Date

05/01/1967

City

STONE MOUNTAIN

State

Zip

30088

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/27/2006