THERESA L PETERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041299883

License Status

NOT RENEWED

Business

First Name

THERESA L

Last Name

PETERSON

Business Name

THERESA L PETERSON

Original Issue Date

09/11/1996

Effective Date

09/11/1996

Expiration Date

05/31/1998

City

GREEN BAY

State

Zip

54313

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006