DIANE L PEDERSEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104977

License Status

INACTIVE

Business

First Name

DIANE L

Last Name

PEDERSEN

Business Name

DIANE L PEDERSEN

Original Issue Date

12/18/1962

Effective Date

03/22/2012

Expiration Date

05/31/2014

City

CREST HILL

State

Zip

60403

County

WILL

Ever Disciplined

LastModifiedDate

03/06/2014