JORDAN ALEXANDRIA KIMLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

ALEXANDRIA

Last Name

KIMLER

Business Name

JORDAN ALEXANDRIA KIMLER

Original Issue Date

10/30/2018

Effective Date

10/30/2018

Expiration Date

09/30/2020

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021