TED STEVEN PETERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023474

License Status

ACTIVE

Business

First Name

TED

Middle

STEVEN

Last Name

PETERSON

Business Name

TED STEVEN PETERSON

Original Issue Date

06/30/2021

Effective Date

06/24/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61114

Ever Disciplined

LastModifiedDate

03/02/2026