MARIE R PETKUS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043007300

License Status

INACTIVE

Business

First Name

MARIE R

Last Name

PETKUS

Business Name

MARIE R PETKUS

Original Issue Date

10/05/1956

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005