GENEVA A PETERSEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

ACTIVE

Business

First Name

GENEVA

Middle

Last Name

PETERSEN

Business Name

GENEVA A PETERSEN

Original Issue Date

11/18/2003

Effective Date

04/03/2024

Expiration Date

05/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026