LARRY C PETERSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031678

License Status

INACTIVE

Business

First Name

LARRY C

Last Name

PETERSON

Business Name

LARRY C PETERSON

Original Issue Date

11/15/1972

Expiration Date

01/31/1991

City

WALKERTON

State

Zip

46574

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005