KIM E OHL Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

INOPERATIVE

Business

First Name

KIM

Middle

Last Name

OHL

Business Name

KIM E OHL

Original Issue Date

01/29/2002

Effective Date

04/27/2016

Expiration Date

05/31/2018

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

03/01/2018