LESLIE R PETERSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041248923

License Status

NOT RENEWED

Business

First Name

LESLIE R

Last Name

PETERSEN

Business Name

LESLIE R PETERSEN

Original Issue Date

09/27/1988

Effective Date

08/18/2020

Expiration Date

08/31/2022

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/14/2022