AMY W PETERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041328429

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

PETERSON

Business Name

AMY W PETERSON

Original Issue Date

01/31/2002

Effective Date

01/31/2002

Expiration Date

05/31/2004

City

HEYWORTH

State

Zip

61745

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/09/2006