KIMBERLY A WAGENAAR - Advanced Practice Nurse License in Illinois | # 209003163

KIMBERLY A WAGENAAR

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003163

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

A

Last Name

WAGENAAR

Business Name

KIMBERLY A WAGENAAR

Original Issue Date

07/17/2001

Effective Date

04/20/2012

Expiration Date

05/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2014