TIFFANY D PETTINGER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115244

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

PETTINGER

Business Name

TIFFANY D PETTINGER

Original Issue Date

08/14/2012

Effective Date

04/28/2015

Expiration Date

01/31/2017

City

OREGON

State

Zip

61061

County

OGLE

Ever Disciplined

LastModifiedDate

03/27/2017