JAYNE ELLEN PEAK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

NOT RENEWED

Business

First Name

JAYNE

Middle

ELLEN

Last Name

PEAK

Business Name

JAYNE ELLEN PEAK

Original Issue Date

05/04/2001

Effective Date

04/06/2012

Expiration Date

05/31/2014

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

07/03/2014