LISA R PETERSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041348215

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

PETERSEN

Business Name

LISA R PETERSEN

Original Issue Date

08/26/2005

Effective Date

05/17/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012