KIM C PETERSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041153150

License Status

NOT RENEWED

Business

First Name

KIM C

Last Name

PETERSEN

Business Name

KIM C PETERSEN

Original Issue Date

12/14/1973

Effective Date

12/14/1973

Expiration Date

05/31/1988

City

WENONA

State

Zip

61377

County

MARSHALL

Ever Disciplined

LastModifiedDate

09/27/2006