TERESA SUSAN PETTY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041120143

License Status

NOT RENEWED

Business

First Name

TERESA SUSAN

Last Name

PETTY

Business Name

TERESA SUSAN PETTY

Original Issue Date

01/01/1997

Effective Date

03/19/2014

Expiration Date

05/31/2016

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2016