ROBERT W KLOTH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003155

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

KLOTH

Business Name

ROBERT W KLOTH

Original Issue Date

07/17/2001

Effective Date

09/14/2020

Expiration Date

08/31/2022

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/14/2022