Diana M Petitgout
InactiveIllinois license 041187217
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041187217
- Status
- Inactive
- First issued
- April 19, 1979
- Expired
- May 31, 2002
- License holder
- Diana M Petitgout
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 04/19/1979
Contact
Galena, IL 61036
Jo Daviess County