DANA L KINGMA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

NOT RENEWED

Business

First Name

DANA

Middle

Last Name

KINGMA

Business Name

DANA L KINGMA

Original Issue Date

06/20/2008

Effective Date

04/05/2012

Expiration Date

05/31/2014

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/03/2014