MARK JOSEPH KERNAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005867

License Status

NOT RENEWED

Business

First Name

MARK

Middle

JOSEPH

Last Name

KERNAN

Business Name

MARK JOSEPH KERNAN

Original Issue Date

12/29/2005

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

BEAVER DAM

State

Zip

53916

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021