MICHAEL WAYNE PETERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209030805

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

WAYNE

Last Name

PETERSON

Business Name

MICHAEL WAYNE PETERSON

Original Issue Date

10/17/2024

Effective Date

10/17/2024

Expiration Date

05/31/2026

City

OREGON

State

Zip

43616

Ever Disciplined

LastModifiedDate

03/02/2026