KATHLEEN ANN PROBST Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

ANN

Last Name

PROBST

Business Name

KATHLEEN ANN PROBST

Original Issue Date

08/29/2007

Effective Date

11/24/2010

Expiration Date

05/31/2012

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

07/10/2012