License holder summary

STACY LYNN PETERSEN is a Nurse - Registered Nurse licensed to practice in Utah. The address on file for STACY LYNN PETERSEN is POCATELLO, ID 83201. This nurse license is not current. The license was granted 09/17/1993 and expired on 01/31/2007.

Division of Occupational and Professional Licensing

Board of Nursing

STACY LYNN PETERSEN
Nurse - Registered Nurse
License number
200851-3102
Date granted
09/17/1993
Date expires
01/31/2007
Class
Nurse - Registered Nurse
Status
Expired
Address
POCATELLO, ID 83201
nursingutah.org
ID 29865118
LAST UPDATED 2021-05-21 20:41:30 UTC

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