KELLY DIANE ROSENBERGER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

INACTIVE

Business

First Name

KELLY

Middle

DIANE

Last Name

ROSENBERGER

Business Name

KELLY DIANE ROSENBERGER

Original Issue Date

02/07/2002

Effective Date

05/17/2022

Expiration Date

05/31/2024

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/17/2022