SAMANTHA K PETERSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115466

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

PETERSEN

Business Name

SAMANTHA K PETERSEN

Original Issue Date

08/31/2012

Effective Date

01/14/2013

Expiration Date

01/31/2015

City

FAIRVIEW HEIGHTS

State

Zip

62208

Ever Disciplined

LastModifiedDate

03/09/2015