KIMBERLY A SIVERTSEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

SIVERTSEN

Business Name

KIMBERLY A SIVERTSEN

Original Issue Date

07/10/2012

Effective Date

08/30/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025