KRISTIN A SUPAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041527742

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

Last Name

SUPAN

Business Name

KRISTIN A SUPAN

Original Issue Date

07/18/2022

Effective Date

05/30/2024

Expiration Date

05/31/2026

City

TONICA

State

Zip

61370

Ever Disciplined

LastModifiedDate

03/01/2026