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 2024-05-01 07:35:16 UTC
LAST UPDATED 2024-05-01 07:35:16 UTC
This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.