CHANTELLE E PETERSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016999

License Status

NOT RENEWED

Business

First Name

CHANTELLE

Middle

Last Name

PETERSON

Business Name

CHANTELLE E PETERSON

Original Issue Date

12/13/2017

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

TAYLOR RIDGE

State

Zip

61284

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/15/2025