CLARICE R PETERSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041028507

License Status

NOT RENEWED

Business

First Name

CLARICE R

Last Name

PETERSEN

Business Name

CLARICE R PETERSEN

Original Issue Date

12/05/1934

Effective Date

12/05/1934

City

LAPORTE

State

Zip

46350

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006