PEGGY ROSE AUTEN

Business Entity
NOT RENEWED

Registered Nurse

LICENSED PRACTICAL NURSE

043017108

NOT RENEWED

N

PEGGY ROSE

AUTEN

PEGGY ROSE AUTEN

12/19/1966

03/04/2003

01/31/2003

SULLIVAN

IL

61951

MOULTRIE

N

10/15/2005