KRISTIN NICOLE KNOBLOCH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

INACTIVE

Business

First Name

KRISTIN

Middle

NICOLE

Last Name

KNOBLOCH

Business Name

KRISTIN NICOLE KNOBLOCH

Original Issue Date

02/24/2021

Effective Date

02/24/2021

Expiration Date

05/31/2022

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

02/24/2021