JEANETTE ANN KALUPA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

NOT RENEWED

Business

First Name

JEANETTE

Middle

ANN

Last Name

KALUPA

Business Name

JEANETTE ANN KALUPA

Original Issue Date

09/25/2012

Effective Date

09/25/2012

Expiration Date

05/31/2014

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/03/2014