DENISE EVELENE KISELY MARTIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019226

License Status

NOT RENEWED

Business

First Name

DENISE

Middle

EVELENE KISELY

Last Name

MARTIN

Business Name

DENISE EVELENE KISELY MARTIN

Original Issue Date

04/04/2019

Effective Date

04/04/2019

Expiration Date

09/30/2020

City

MADISON

State

Zip

53711

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021