KELLIE LUSTENBERGER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006728

License Status

ACTIVE

Business

First Name

KELLIE

Last Name

LUSTENBERGER

Business Name

KELLIE LUSTENBERGER

Original Issue Date

08/23/2007

Effective Date

03/13/2026

Expiration Date

05/31/2028

City

HERRIN

State

Zip

62948

County

JACKSON

Ever Disciplined

LastModifiedDate

03/13/2026