PEGGY LEE MIRACLE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004172

License Status

NOT RENEWED

Business

First Name

PEGGY LEE

Last Name

MIRACLE

Business Name

PEGGY LEE MIRACLE

Original Issue Date

02/02/2002

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

01/14/2021