MILLIE KOOISTRA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209034284

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

TERRE HAUTE

State

Zip

47803

Ever Disciplined

LastModifiedDate

03/04/2026