KIYOMI KIMBLE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

INACTIVE

Business

First Name

KIYOMI

Last Name

KIMBLE

Business Name

KIYOMI KIMBLE

Original Issue Date

09/18/2018

Effective Date

03/09/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/31/2025