MILLIE KOOISTRA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

ACTIVE

Business

First Name

MILLIE

Last Name

KOOISTRA

Business Name

MILLIE KOOISTRA

Original Issue Date

01/04/2026

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

PARIS

State

Zip

61944

County

EDGAR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026