SUSAN B PETEFISH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041230431

License Status

NOT RENEWED

Business

First Name

SUSAN B

Last Name

PETEFISH

Business Name

SUSAN B PETEFISH

Original Issue Date

10/04/1985

Effective Date

10/04/1985

Expiration Date

05/31/1988

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006