JENNIFER KISTNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

NOT RENEWED

Business

First Name

JENNIFER

Last Name

KISTNER

Business Name

JENNIFER KISTNER

Original Issue Date

05/25/2011

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021