DIANE M PETERSEN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041266374

License Status

ACTIVE

Business

First Name

DIANE M

Last Name

PETERSEN

Business Name

DIANE M PETERSEN

Original Issue Date

11/25/1991

Effective Date

05/20/2024

Expiration Date

05/31/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/28/2026