DOUG A PETERSEN - Registered Nurse License in Indiana | # 041452173

DOUG A PETERSEN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041452173

License Status

NOT RENEWED

Business

N

First Name

DOUG

Middle

A

Last Name

PETERSEN

Business Name

DOUG A PETERSEN

Original Issue Date

04/12/2017

Effective Date

03/14/2018

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

01/14/2021