MYRNA DALE PETERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043027814

License Status

NOT RENEWED

Business

First Name

MYRNA DALE

Last Name

PETERSON

Business Name

MYRNA DALE PETERSON

Original Issue Date

01/25/1971

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005