DOUG A PETERSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041452173

License Status

NOT RENEWED

Business

First Name

DOUG

Middle

Last Name

PETERSEN

Business Name

DOUG A PETERSEN

Original Issue Date

04/12/2017

Effective Date

03/14/2018

Expiration Date

09/30/2020

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021