AGNES A PETRIE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041062150

License Status

INACTIVE

Business

First Name

AGNES A

Last Name

PETRIE

Business Name

AGNES A PETRIE

Original Issue Date

11/12/1948

Effective Date

11/12/1948

Expiration Date

05/31/1988

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006