JACQUELYN MASSINGILL PETERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041309200

License Status

NOT RENEWED

Business

First Name

JACQUELYN

Middle

MASSINGILL

Last Name

PETERSON

Business Name

JACQUELYN MASSINGILL PETERSON

Original Issue Date

06/15/1998

Effective Date

06/15/1998

Expiration Date

05/31/2002

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006