PEGGY LEE MIRACLE Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

INOPERATIVE

Business

First Name

PEGGY LEE

Last Name

MIRACLE

Business Name

PEGGY LEE MIRACLE

Original Issue Date

05/08/2003

Effective Date

03/24/2016

Expiration Date

05/31/2018

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

03/01/2018