MARY M PETERSEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123225

License Status

INACTIVE

Business

First Name

MARY M

Last Name

PETERSEN

Business Name

MARY M PETERSEN

Original Issue Date

10/02/1967

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/05/2010