KIMBERLY SMALLWOOD PUTCHAVEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007410

License Status

INACTIVE

Business

First Name

KIMBERLY

Last Name

SMALLWOOD PUTCHAVEN

Business Name

KIMBERLY SMALLWOOD PUTCHAVEN

Original Issue Date

12/30/2008

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2025