PEGGY A WOLPERT 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

PEGGY

Middle

Last Name

WOLPERT

Business Name

PEGGY A WOLPERT

Original Issue Date

06/22/2019

Effective Date

06/22/2019

Expiration Date

09/30/2020

City

DANVILLE

State

Zip

61832

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021