Denise Evelene Kisely Martin
ExpiredIllinois license 30*****05
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 30*****05
- Status
- Expired (Not Renewed)
- First issued
- April 22, 2019
- Expired
- September 30, 2020
- License holder
- Denise Evelene Kisely Martin
- Entity type
- Individual
Classifications
- Adv Practice Nurse Control Sub Nursing
More from the license record
- Delegated controlled substance schedules
- II III IV V
- Current term began
- 04/22/2019
Other Illinois licenses under this name
-
IL
ExpiredFitchburg, WIExpired Sep 30, 2020
-
IL
ExpiredMadison, WIExpired Sep 30, 2020
Contact
Rockford, IL