ALTAGRACE PETITHOMME Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043118349

License Status

NOT RENEWED

Business

First Name

ALTAGRACE

Last Name

PETITHOMME

Business Name

ALTAGRACE PETITHOMME

Original Issue Date

01/28/2014

Effective Date

02/01/2017

Expiration Date

01/31/2019

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/28/2019