KIMBERLY ANNE OGLESBY MARTIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014904

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

ANNE OGLESBY

Last Name

MARTIN

Business Name

KIMBERLY ANNE OGLESBY MARTIN

Original Issue Date

09/22/2016

Effective Date

04/03/2020

Expiration Date

05/31/2022

City

MOUNT PULASKI

State

Zip

62548

County

LOGAN

Ever Disciplined

LastModifiedDate

04/03/2020