SHIRLEY PETROVICH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013920

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Last Name

PETROVICH

Business Name

SHIRLEY PETROVICH

Original Issue Date

10/07/1965

City

PORT WASHINGTON

State

Zip

53074

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005