JENNIE R KRULL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

INACTIVE

Business

First Name

JENNIE R

Last Name

KRULL

Business Name

JENNIE R KRULL

Original Issue Date

09/19/2019

Effective Date

09/19/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/19/2019