GEORGIANN M PETZKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043052595

License Status

INACTIVE

Business

First Name

GEORGIANN M

Last Name

PETZKE

Business Name

GEORGIANN M PETZKE

Original Issue Date

01/13/1982

Effective Date

11/21/2012

Expiration Date

01/31/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/07/2014