ELLEN J PETRIE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013670

License Status

NOT RENEWED

Business

First Name

ELLEN J

Last Name

PETRIE

Business Name

ELLEN J PETRIE

Original Issue Date

06/25/1965

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

10/21/2005