MARY LEE PETERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041108663

License Status

NOT RENEWED

Business

First Name

MARY LEE

Last Name

PETERSON

Business Name

MARY LEE PETERSON

Original Issue Date

12/06/1963

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/14/2021