PEGGY WIDSTROM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043043423

License Status

INACTIVE

Business

First Name

PEGGY

Last Name

WIDSTROM

Business Name

PEGGY WIDSTROM

Original Issue Date

02/14/1978

Effective Date

01/20/2011

Expiration Date

01/31/2013

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/08/2012