IDA D PETERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012426

License Status

NOT RENEWED

Business

First Name

IDA D

Last Name

PETERSON

Business Name

IDA D PETERSON

Original Issue Date

06/29/1964

Expiration Date

01/31/1985

City

NOKOMIS

State

Zip

62075

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/21/2005