KIMBERLY J MITCHELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

MITCHELL

Business Name

KIMBERLY J MITCHELL

Original Issue Date

04/01/2019

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

EAST SAINT LOUIS

State

Zip

62205

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026