JENNIFER KISTNER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

INACTIVE

Business

First Name

JENNIFER

Last Name

KISTNER

Business Name

JENNIFER KISTNER

Original Issue Date

05/25/2011

Effective Date

06/17/2020

Expiration Date

08/31/2022

City

EFFINGHAM

State

Zip

62401

County

JASPER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2022