KYLE KIESEWETTER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

ACTIVE

Business

First Name

KYLE

Last Name

KIESEWETTER

Business Name

KYLE KIESEWETTER

Original Issue Date

04/16/2020

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61602

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026