KATHLEEN M VAN VELDHUISEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

VAN VELDHUISEN

Business Name

KATHLEEN M VAN VELDHUISEN

Original Issue Date

11/10/2011

Effective Date

05/22/2012

Expiration Date

05/31/2014

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/03/2014