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*****26

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

BANKSTON

Business Name

KIMBERLY J BANKSTON

Original Issue Date

04/01/2002

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

LEXINGTON

State

Zip

61753

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/10/2012