NICOLE B PEDTKE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

PEDTKE

Business Name

NICOLE B PEDTKE

Original Issue Date

01/11/2021

Effective Date

03/28/2024

Expiration Date

05/31/2026

City

ASHLEY

State

Zip

62808

County

WASHINGTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026