KRYSTAL HEGGESTAD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019410

License Status

NOT RENEWED

Business

First Name

KRYSTAL

Last Name

HEGGESTAD

Business Name

KRYSTAL HEGGESTAD

Original Issue Date

05/07/2019

Effective Date

09/03/2020

Expiration Date

08/31/2022

City

PEORIA

State

Zip

61615

Ever Disciplined

LastModifiedDate

10/14/2022