KIMBERLY J BANKSTON 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

Last Name

BANKSTON

Business Name

KIMBERLY J BANKSTON

Original Issue Date

05/04/2001

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/11/2010