MARILEE DALTON PETERS Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

INOPERATIVE

Business

First Name

MARILEE

Middle

DALTON

Last Name

PETERS

Business Name

MARILEE DALTON PETERS

Original Issue Date

09/10/2001

Effective Date

05/29/2014

Expiration Date

05/31/2016

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/29/2014