JONATHAN J PETTIFER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089556

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

PETTIFER

Business Name

JONATHAN J PETTIFER

Original Issue Date

02/06/2004

Effective Date

01/30/2017

Expiration Date

01/31/2019

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

03/28/2019