KRISTIN A SUPAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043120104

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

SUPAN

Business Name

KRISTIN A SUPAN

Original Issue Date

12/18/2014

Effective Date

11/08/2020

Expiration Date

01/31/2023

City

TONICA

State

Zip

61370

Ever Disciplined

LastModifiedDate

03/31/2023