ELLA MAE PETTIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011544

License Status

INACTIVE

Business

First Name

ELLA MAE

Last Name

PETTIS

Business Name

ELLA MAE PETTIS

Original Issue Date

07/26/1963

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005