MARY A PETTENGER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041082521

License Status

INACTIVE

Business

First Name

MARY A

Last Name

PETTENGER

Business Name

MARY A PETTENGER

Original Issue Date

12/01/1955

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/05/2010