DIANE L PETERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087794

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

PETERSON

Business Name

DIANE L PETERSON

Original Issue Date

09/27/2002

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005