PAULA A PETERSEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

ACTIVE

Business

First Name

PAULA A

Last Name

PETERSEN

Business Name

PAULA A PETERSEN

Original Issue Date

09/13/2011

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

TINLEY PARK

State

Zip

60487

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026