MIRIAM A PETERSEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041157706

License Status

INACTIVE

Business

First Name

MIRIAM A

Last Name

PETERSEN

Business Name

MIRIAM A PETERSEN

Original Issue Date

09/11/1974

Effective Date

09/11/1974

Expiration Date

05/31/1986

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006