MARY K KIESEWETTER - Advanced Practice Nurse License in Illinois | # 209020494

MARY K KIESEWETTER

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020494

License Status

INACTIVE

Business

N

First Name

MARY

Middle

K

Last Name

KIESEWETTER

Business Name

MARY K KIESEWETTER

Original Issue Date

11/19/2019

Effective Date

05/20/2022

Expiration Date

05/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

03/31/2023