KAYLEIGH JEAN HOLTHAUS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013328

License Status

NOT RENEWED

Business

First Name

KAYLEIGH

Middle

JEAN

Last Name

HOLTHAUS

Business Name

KAYLEIGH JEAN HOLTHAUS

Original Issue Date

09/04/2015

Effective Date

05/11/2016

Expiration Date

05/31/2018

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/19/2018