KIMBERLY A WAGENAAR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003163

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

WAGENAAR

Business Name

KIMBERLY A WAGENAAR

Original Issue Date

07/17/2001

Effective Date

04/20/2012

Expiration Date

05/31/2014

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

07/03/2014