PHYLLIS A PETEK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111092

License Status

INACTIVE

Business

First Name

PHYLLIS A

Last Name

PETEK

Business Name

PHYLLIS A PETEK

Original Issue Date

10/09/1964

Effective Date

10/09/1964

Expiration Date

05/31/1988

City

FARMINGTON HILLS

State

Zip

48331

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/27/2006