HANNAH KALEIGH PETERSEN Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

INOPERATIVE

Business

First Name

HANNAH

Middle

KALEIGH

Last Name

PETERSEN

Business Name

HANNAH KALEIGH PETERSEN

Original Issue Date

09/05/2018

Effective Date

03/20/2020

Expiration Date

05/31/2022

City

BARNHART

State

Zip

63012

County

MONROE

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

05/02/2022