KRISTI S KROENLEIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

INACTIVE

Business

First Name

KRISTI

Middle

Last Name

KROENLEIN

Business Name

KRISTI S KROENLEIN

Original Issue Date

10/28/2003

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2018