MARY K KIESEWETTER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020494

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

KIESEWETTER

Business Name

MARY K KIESEWETTER

Original Issue Date

11/19/2019

Effective Date

05/20/2022

Expiration Date

05/31/2024

City

LE ROY

State

Zip

61752

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/31/2023