PEGGY WIDSTROM - Registered Nurse License in Illinois | # 043043423

PEGGY WIDSTROM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043043423

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2012