DAVID L KIESER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006777

License Status

INACTIVE

Business

First Name

DAVID

Middle

Last Name

KIESER

Business Name

DAVID L KIESER

Original Issue Date

09/24/2007

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/10/2018