KRISTA D FADER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010653

License Status

NOT RENEWED

Business

First Name

KRISTA

Middle

Last Name

FADER

Business Name

KRISTA D FADER

Original Issue Date

08/16/2013

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

NORTON SHORES

State

Zip

49444

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/14/2021