KIMBERLY ANN FAULKNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

FAULKNER

Business Name

KIMBERLY ANN FAULKNER

Original Issue Date

11/29/2004

Effective Date

11/29/2004

Expiration Date

05/31/2006

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006