GINNY M PETER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

INACTIVE

Business

First Name

GINNY

Middle

Last Name

PETER

Business Name

GINNY M PETER

Original Issue Date

11/10/2009

Effective Date

07/22/2019

Expiration Date

09/30/2020

City

WATERLOO

State

Zip

62298

County

MONROE

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

07/03/2014