KRISTIN KLEIDERER Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

INOPERATIVE

Business

First Name

KRISTIN

Last Name

KLEIDERER

Business Name

KRISTIN KLEIDERER

Original Issue Date

01/26/2017

Effective Date

01/26/2017

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60646

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/01/2018