JEWELL A PETRULIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043068197

License Status

NOT RENEWED

Business

First Name

JEWELL A

Last Name

PETRULIS

Business Name

JEWELL A PETRULIS

Original Issue Date

02/15/1990

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005