NICOLE J KERNER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

INACTIVE

Business

First Name

NICOLE

Middle

Last Name

KERNER

Business Name

NICOLE J KERNER

Original Issue Date

01/12/2021

Effective Date

05/06/2022

Expiration Date

05/31/2024

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2022