Michigan
Department of Licensing and Regulation
JEAN THERESA PETAISTO
Nurse Registered & Licensed Practical - Lpn
License number
4703034842
Date granted
04/22/1974
Date expires
03/31/1999
Class
Nurse Registered & Licensed Practical - Lpn
Status
Lapsed
Address
Chino Valley, AZ 86323
michiganlicensing.org
ID 25817191
LAST UPDATED 2026-06-22 18:35:27 UTC
LAST UPDATED 2026-06-22 18:35:27 UTC
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