MYRTLE I PETTY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010293

License Status

NOT RENEWED

Business

First Name

MYRTLE I

Last Name

PETTY

Business Name

MYRTLE I PETTY

Original Issue Date

04/02/1962

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005