KELLY ELIZABETH PETERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015804

License Status

ACTIVE

Business

First Name

KELLY

Middle

ELIZABETH

Last Name

PETERSON

Business Name

KELLY ELIZABETH PETERSON

Original Issue Date

03/22/2017

Effective Date

03/24/2026

Expiration Date

05/31/2028

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

03/24/2026