KEVIN D SPANGLER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

INACTIVE

Business

First Name

KEVIN

Middle

Last Name

SPANGLER

Business Name

KEVIN D SPANGLER

Original Issue Date

09/25/2018

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

03/03/2025