THERESA A PETERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041239397

License Status

NOT RENEWED

Business

First Name

THERESA A

Last Name

PETERSON

Business Name

THERESA A PETERSON

Original Issue Date

09/22/1986

Effective Date

09/22/1986

Expiration Date

05/31/1990

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006