KIMBERLY S SMITH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004446

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

SMITH

Business Name

KIMBERLY S SMITH

Original Issue Date

08/30/2002

Effective Date

04/21/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/21/2024