SAMANTHA K PETERSEN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041412854

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

PETERSEN

Business Name

SAMANTHA K PETERSEN

Original Issue Date

07/25/2013

Effective Date

03/07/2026

Expiration Date

05/31/2028

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

WAYNE

Ever Disciplined

LastModifiedDate

03/07/2026