KIMBERLY DIANA BUCK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

DIANA

Last Name

BUCK

Business Name

KIMBERLY DIANA BUCK

Original Issue Date

10/26/2010

Effective Date

10/26/2010

Expiration Date

05/31/2012

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

07/10/2012