MARY K KIESEWETTER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

KIESEWETTER

Business Name

MARY K KIESEWETTER

Original Issue Date

11/26/2019

Effective Date

05/20/2022

Expiration Date

05/31/2024

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/31/2023