KIMBERLY KAY TARALLO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008177

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

KAY

Last Name

TARALLO

Business Name

KIMBERLY KAY TARALLO

Original Issue Date

06/03/2010

Effective Date

06/03/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012