JACQUELYN MASSINGILL PETERSON - Registered Nurse License in Indiana | # 041309200

JACQUELYN MASSINGILL PETERSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041309200

License Status

NOT RENEWED

Business

N

First Name

JACQUELYN

Middle

MASSINGILL

Last Name

PETERSON

Business Name

JACQUELYN MASSINGILL PETERSON

Original Issue Date

06/15/1998

Effective Date

06/15/1998

Expiration Date

05/31/2002

State

IN

Ever Disciplined

N

LastModifiedDate

10/09/2006