JENNIFER KISTNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

ACTIVE

Business

First Name

JENNIFER

Last Name

KISTNER

Business Name

JENNIFER KISTNER

Original Issue Date

05/25/2011

Effective Date

05/21/2024

Expiration Date

05/31/2026

City

DIETERICH

State

Zip

62424

County

EFFINGHAM

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026