KEITH STARWALT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

INACTIVE

Business

First Name

KEITH

Last Name

STARWALT

Business Name

KEITH STARWALT

Original Issue Date

12/09/2021

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60603

Ever Disciplined

LastModifiedDate

03/10/2025