DAVID L KIESER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

INACTIVE

Business

First Name

DAVID

Middle

Last Name

KIESER

Business Name

DAVID L KIESER

Original Issue Date

09/24/2007

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2018