ESSIE LEE PETTIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043018559

License Status

INACTIVE

Business

First Name

ESSIE LEE

Last Name

PETTIS

Business Name

ESSIE LEE PETTIS

Original Issue Date

02/28/1967

Effective Date

12/20/2004

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005