KIMBERLY A BALDWIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

BALDWIN

Business Name

KIMBERLY A BALDWIN

Original Issue Date

09/12/2013

Effective Date

05/22/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/08/2020