ANNE MARIE PETERSEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

MARIE

Last Name

PETERSEN

Business Name

ANNE MARIE PETERSEN

Original Issue Date

10/17/2006

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

08/11/2010