PEGGY A WOLPERT Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

INOPERATIVE

Business

First Name

PEGGY

Middle

Last Name

WOLPERT

Business Name

PEGGY A WOLPERT

Original Issue Date

10/14/2011

Effective Date

10/18/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60604

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2012