DIVINIA L PERALTA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041204446

License Status

NOT RENEWED

Business

First Name

DIVINIA L

Last Name

PERALTA

Business Name

DIVINIA L PERALTA

Original Issue Date

10/08/1981

Effective Date

10/08/1981

Expiration Date

05/31/2006

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006