SHANNON MARIE KUSSATZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013701

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

MARIE

Last Name

KUSSATZ

Business Name

SHANNON MARIE KUSSATZ

Original Issue Date

12/15/2015

Effective Date

05/26/2016

Expiration Date

05/31/2018

City

PEORIA

State

Zip

61614

County

IOWA

Ever Disciplined

LastModifiedDate

07/19/2018