LORI ANN PETTIT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041333509

License Status

NOT RENEWED

Business

First Name

LORI

Middle

ANN

Last Name

PETTIT

Business Name

LORI ANN PETTIT

Original Issue Date

12/12/2002

Effective Date

05/19/2014

Expiration Date

05/31/2016

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/11/2016