PEGGI J WHITE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

INACTIVE

Business

First Name

PEGGI J

Last Name

WHITE

Business Name

PEGGI J WHITE

Original Issue Date

02/09/2010

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

OGDEN

State

Zip

61859

County

CHAMPAIGN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/14/2018