DENISE S PETTIT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043073737

License Status

NOT RENEWED

Business

First Name

DENISE S

Last Name

PETTIT

Business Name

DENISE S PETTIT

Original Issue Date

06/09/1993

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/15/2005