JAMIE N PETZA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041405848

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

PETZA

Business Name

JAMIE N PETZA

Original Issue Date

09/12/2012

Effective Date

09/12/2012

Expiration Date

05/31/2014

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/03/2014