KIM A EARL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

INACTIVE

Business

First Name

KIM A

Last Name

EARL

Business Name

KIM A EARL

Original Issue Date

08/12/2008

Effective Date

06/30/2022

Expiration Date

05/31/2024

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/30/2022