CAROL ANN PETTIT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111174

License Status

NOT RENEWED

Business

First Name

CAROL ANN

Last Name

PETTIT

Business Name

CAROL ANN PETTIT

Original Issue Date

10/09/1964

Effective Date

10/09/1964

Expiration Date

05/31/1996

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/27/2006