JOHNNIE PETERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041192630

License Status

NOT RENEWED

Business

First Name

JOHNNIE

Last Name

PETERSON

Business Name

JOHNNIE PETERSON

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/1984

City

EAST ST LOUIS

State

Zip

62204

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/27/2006