KEITH DAVID MURBACH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

DAVID

Last Name

MURBACH

Business Name

KEITH DAVID MURBACH

Original Issue Date

08/27/2015

Effective Date

08/27/2015

Expiration Date

05/31/2016

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

07/11/2016