KIMBERLY ANNE OGLESBY MARTIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

ANNE OGLESBY

Last Name

MARTIN

Business Name

KIMBERLY ANNE OGLESBY MARTIN

Original Issue Date

09/22/2016

Effective Date

04/03/2020

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/03/2020