JON CHARLES KAESBERG Advanced Practice Nurse License verification

JON CHARLES KAESBERG

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000377

License Status

NOT RENEWED

Business

First Name

JON

Middle

CHARLES

Last Name

KAESBERG

Business Name

JON CHARLES KAESBERG

Original Issue Date

05/22/2001

Effective Date

03/27/2012

Expiration Date

05/31/2014

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/03/2014

Case Number

2013001085

Action

Refuse To Renew

Discipline Start Date

05/16/2014

Discipline Reason

for failure to respond to the Department's Notice of Refuse to Renew based on his failure to comply with employer last chance agreement program, failure to self report relapse, and failure to report adverse action of termination from employment.