KENT D PETERSEN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300998

License Status

ACTIVE

Business

First Name

KENT D

Last Name

PETERSEN

Business Name

KENT D PETERSEN

Original Issue Date

11/12/1996

Effective Date

05/26/2024

Expiration Date

05/31/2026

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

02/28/2026