KONGKEO WALTHER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023992

License Status

NOT RENEWED

Business

First Name

KONGKEO

Last Name

WALTHER

Business Name

KONGKEO WALTHER

Original Issue Date

09/09/2021

Effective Date

05/20/2022

Expiration Date

06/30/2024

City

SAINT LOUIS

State

Zip

63129

Ever Disciplined

LastModifiedDate

02/05/2025