MAGGIE PETRY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

INACTIVE

Business

First Name

MAGGIE

Last Name

PETRY

Business Name

MAGGIE PETRY

Original Issue Date

01/08/2019

Effective Date

01/08/2019

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/08/2020