KEITH STARWALT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023651

License Status

INACTIVE

Business

First Name

KEITH

Last Name

STARWALT

Business Name

KEITH STARWALT

Original Issue Date

07/21/2021

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60610

Specialty/Qualifier

DOCTORATE

Ever Disciplined

LastModifiedDate

03/10/2025