NICOLE MARIE PETERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

ACTIVE

Business

First Name

NICOLE

Middle

MARIE

Last Name

PETERSON

Business Name

NICOLE MARIE PETERSON

Original Issue Date

07/17/2017

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

WAUSAU

State

Zip

54401

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026