RENEE KOHLMAN 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

RENEE

Last Name

KOHLMAN

Business Name

RENEE KOHLMAN

Original Issue Date

10/20/2014

Effective Date

05/04/2018

Expiration Date

09/30/2020

City

FAIRFIELD

State

Zip

62837

County

FRANKLIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021