MARY ELLEN PETERSEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041163436

License Status

INACTIVE

Business

First Name

MARY ELLEN

Last Name

PETERSEN

Business Name

MARY ELLEN PETERSEN

Original Issue Date

10/24/1975

Effective Date

10/24/1975

City

CLEVELAND HEIGHTS

State

Zip

44118

County

OHIO

Ever Disciplined

LastModifiedDate

09/27/2006