KIMBERLY KRISTINE LOPEZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014626

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

KRISTINE

Last Name

LOPEZ

Business Name

KIMBERLY KRISTINE LOPEZ

Original Issue Date

07/28/2016

Effective Date

03/12/2020

Expiration Date

05/31/2022

City

PEKIN

State

Zip

61554

Ever Disciplined

LastModifiedDate

03/12/2020