CARLENE PETTY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041137617

License Status

NOT RENEWED

Business

First Name

CARLENE

Last Name

PETTY

Business Name

CARLENE PETTY

Original Issue Date

10/26/1970

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021