PETER NELSON ROSEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

NOT RENEWED

Business

First Name

PETER

Middle

NELSON

Last Name

ROSEN

Business Name

PETER NELSON ROSEN

Original Issue Date

10/15/2014

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

GALESBURG

State

Zip

61401

County

KNOX

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021