GLEN J PETERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041328316

License Status

NOT RENEWED

Business

First Name

GLEN

Middle

Last Name

PETERSON

Business Name

GLEN J PETERSON

Original Issue Date

01/25/2002

Effective Date

01/25/2002

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006