GRACE A PETERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104735

License Status

NOT RENEWED

Business

First Name

GRACE A

Last Name

PETERSON

Business Name

GRACE A PETERSON

Original Issue Date

11/29/1962

Effective Date

11/29/1962

City

WISCONSIN DELLS

State

Zip

53965

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006