KELLI PATRICIA WIETHUCHTER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023299

License Status

ACTIVE

Business

First Name

KELLI

Middle

PATRICIA

Last Name

WIETHUCHTER

Business Name

KELLI PATRICIA WIETHUCHTER

Original Issue Date

05/24/2021

Effective Date

03/13/2026

Expiration Date

05/31/2028

City

KIRKWOOD

State

Zip

63122

Ever Disciplined

LastModifiedDate

03/13/2026