POLLY PETERSEN - Advanced Practice Nurse License in Illinois | # 209001881

POLLY PETERSEN

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001881

License Status

NOT RENEWED

Business

N

First Name

POLLY

Last Name

PETERSEN

Business Name

POLLY PETERSEN

Original Issue Date

06/28/2001

Effective Date

05/26/2014

Expiration Date

05/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2016