MARTINA L PETERSEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041130502

License Status

INACTIVE

Business

First Name

MARTINA L

Last Name

PETERSEN

Business Name

MARTINA L PETERSEN

Original Issue Date

03/24/1969

Effective Date

03/24/1969

Expiration Date

05/01/1982

City

INDIANAPOLIS

State

Zip

46260

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006