License holder summary

Nicolle L Peterson is a Medical Residency Permit licensed to practice in Indiana. The address on file for Nicolle L Peterson is South Bend IN 46617. This licensed professional license is not current. The license was granted 06/22/2011 and expired on 06/30/2012.

Indiana

Professional Licensing Agency

Nicolle L Peterson
Medical Residency Permit
License number
11016297A
Date granted
06/22/2011
Date expires
06/30/2012
Class
Medical Residency Permit
Status
Expired
Address
South Bend IN 46617
indianalicensing.org
ID 5996646
LAST UPDATED 2024-04-10 14:37:32 UTC

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