KIMBERLY N STANFORD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

STANFORD

Business Name

KIMBERLY N STANFORD

Original Issue Date

07/12/2021

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

WESTCHESTER

State

Zip

60154

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026