KERRY M DETWEILER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

INACTIVE

Business

First Name

KERRY

Middle

Last Name

DETWEILER

Business Name

KERRY M DETWEILER

Original Issue Date

03/10/2021

Effective Date

06/10/2022

Expiration Date

05/31/2024

City

GERMANTOWN HILLS

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

06/10/2022