STEPHEN PHILLIP KLINKHAMMER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004929

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

PHILLIP

Last Name

KLINKHAMMER

Business Name

STEPHEN PHILLIP KLINKHAMMER

Original Issue Date

12/04/2003

Effective Date

03/30/2020

Expiration Date

08/31/2022

City

MT PLEASANT

State

Zip

53405

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2022