KIRK DALLAS ASHBURN II Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028470

License Status

INACTIVE

Business

First Name

KIRK

Middle

DALLAS

Last Name

ASHBURN II

Business Name

KIRK DALLAS ASHBURN II

Original Issue Date

10/17/2023

Effective Date

10/17/2023

Expiration Date

05/31/2024

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

10/17/2023