KIMBERLY A CARBONARA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

ACTIVE

Business

First Name

KIMBERLY A

Last Name

CARBONARA

Business Name

KIMBERLY A CARBONARA

Original Issue Date

08/17/2001

Effective Date

05/22/2024

Expiration Date

05/31/2026

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026