ROBERTA SUE PETERSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041084779

License Status

NOT RENEWED

Business

First Name

ROBERTA SUE

Last Name

PETERSEN

Business Name

ROBERTA SUE PETERSEN

Original Issue Date

09/05/1956

Effective Date

09/05/1956

Expiration Date

05/31/2002

City

MACHESNEY PARK

State

Zip

61115

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006