THERESE MARIE PETTY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041175558

License Status

NOT RENEWED

Business

First Name

THERESE MARIE

Last Name

PETTY

Business Name

THERESE MARIE PETTY

Original Issue Date

10/12/1977

Effective Date

10/12/1977

Expiration Date

05/31/1980

City

WAUKEGAN

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006