KIM C PETERSEN - Registered Nurse License in Illinois | # 041153150

KIM C PETERSEN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041153150

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

Y

LastModifiedDate

09/27/2006