MYRNA DALE PETERSON - Registered Nurse License in Wisconsin | # 043027814

MYRNA DALE PETERSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043027814

License Status

NOT RENEWED

Business

N

First Name

MYRNA DALE

Last Name

PETERSON

Business Name

MYRNA DALE PETERSON

Original Issue Date

01/25/1971

State

WI

Ever Disciplined

N

LastModifiedDate

10/21/2005