DAVID KLEISS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

KLEISS

Business Name

DAVID KLEISS

Original Issue Date

09/20/2019

Effective Date

05/04/2022

Expiration Date

06/30/2024

City

DEKALB

State

Zip

60115

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025