KERRY M DETWEILER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****76

License Status

ACTIVE

Business

First Name

KERRY

Middle

Last Name

DETWEILER

Business Name

KERRY M DETWEILER

Original Issue Date

08/09/2022

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

EAST PEORIA

State

Zip

61611

County

WOODFORD

Ever Disciplined

LastModifiedDate

03/02/2026