KIRBY L KLOSTERMANN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

INACTIVE

Business

First Name

KIRBY

Middle

Last Name

KLOSTERMANN

Business Name

KIRBY L KLOSTERMANN

Original Issue Date

12/05/2007

Effective Date

04/03/2018

Expiration Date

09/30/2020

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

03/08/2020