MARY A VAN PETTEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043068014

License Status

INACTIVE

Business

First Name

MARY A

Last Name

VAN PETTEN

Business Name

MARY A VAN PETTEN

Original Issue Date

01/19/1990

Effective Date

11/17/2010

Expiration Date

01/31/2013

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/08/2012