DONNA J PETLOCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043058751

License Status

INACTIVE

Business

First Name

DONNA J

Last Name

PETLOCK

Business Name

DONNA J PETLOCK

Original Issue Date

12/27/1983

Expiration Date

01/31/1985

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005