KRISTIE A FOWLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041332836

License Status

NOT RENEWED

Business

First Name

KRISTIE

Middle

Last Name

FOWLER

Business Name

KRISTIE A FOWLER

Original Issue Date

10/09/2002

Effective Date

04/12/2018

Expiration Date

09/30/2020

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021