KIM M TUCKER Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

INOPERATIVE

Business

First Name

KIM M

Last Name

TUCKER

Business Name

KIM M TUCKER

Original Issue Date

11/08/2010

Effective Date

04/08/2016

Expiration Date

05/31/2018

City

MOJAVE

State

Zip

93561

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/21/2018