LOGAN M KLOCKNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022924

License Status

ACTIVE

Business

First Name

LOGAN

Middle

Last Name

KLOCKNER

Business Name

LOGAN M KLOCKNER

Original Issue Date

02/24/2021

Effective Date

05/26/2024

Expiration Date

05/31/2026

City

ROSCOE

State

Zip

61073

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026