MICHELLE PETER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

NOT RENEWED

Business

First Name

MICHELLE

Last Name

PETER

Business Name

MICHELLE PETER

Original Issue Date

05/14/2019

Effective Date

05/10/2022

Expiration Date

06/30/2024

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025