JUDITH A PETERSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041095716

License Status

NOT RENEWED

Business

First Name

JUDITH A

Last Name

PETERSEN

Business Name

JUDITH A PETERSEN

Original Issue Date

12/18/1959

Effective Date

05/20/2008

Expiration Date

05/31/2010

City

GIBSON CITY

State

Zip

60936

County

FORD

Ever Disciplined

LastModifiedDate

08/16/2010