ERIC M PETERSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043112604

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

PETERSEN

Business Name

ERIC M PETERSEN

Original Issue Date

05/05/2011

Effective Date

01/31/2019

Expiration Date

01/31/2021

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2021