KIMBERLY J BANKSTON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000121

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

BANKSTON

Business Name

KIMBERLY J BANKSTON

Original Issue Date

04/13/2001

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/19/2018