KIMBERLY A SHRODE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

SHRODE

Business Name

KIMBERLY A SHRODE

Original Issue Date

01/17/2017

Effective Date

03/23/2020

Expiration Date

05/31/2022

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/23/2020