MARIA GANT PETERSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043056959

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

GANT

Last Name

PETERSEN

Business Name

MARIA GANT PETERSEN

Original Issue Date

05/09/1983

Effective Date

12/30/2008

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2011