MARY K KIESEWETTER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****75

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

KIESEWETTER

Business Name

MARY K KIESEWETTER

Original Issue Date

04/17/2023

Effective Date

03/25/2026

Expiration Date

05/31/2028

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/25/2026