JENNIE R KRULL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004485

License Status

INACTIVE

Business

First Name

JENNIE R

Last Name

KRULL

Business Name

JENNIE R KRULL

Original Issue Date

10/10/2002

Effective Date

03/27/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/27/2018