JACK E PETERSEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193910

License Status

INACTIVE

Business

First Name

JACK E

Last Name

PETERSEN

Business Name

JACK E PETERSEN

Original Issue Date

12/10/1979

Effective Date

03/27/2018

Expiration Date

09/30/2020

City

TOLEDO

State

Zip

43614

County

OHIO

Ever Disciplined

LastModifiedDate

03/08/2020