VIVIAN J PETERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041253985

License Status

NOT RENEWED

Business

First Name

VIVIAN J

Last Name

PETERSON

Business Name

VIVIAN J PETERSON

Original Issue Date

09/12/1989

Effective Date

09/12/1989

Expiration Date

05/31/2006

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006