KIMBERLY S SMITH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

SMITH

Business Name

KIMBERLY S SMITH

Original Issue Date

08/24/2004

Effective Date

04/21/2024

Expiration Date

05/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2024