AGNES M PETERSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019525

License Status

INACTIVE

Business

First Name

AGNES M

Last Name

PETERSON

Business Name

AGNES M PETERSON

Original Issue Date

06/06/1967

Expiration Date

01/31/1985

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005