MILLIE KOOISTRA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041595611

License Status

ACTIVE

Business

First Name

MILLIE

Last Name

KOOISTRA

Business Name

MILLIE KOOISTRA

Original Issue Date

10/06/2025

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

TERRE HAUTE

State

Zip

47803

Ever Disciplined

LastModifiedDate

03/04/2026