KIMBERLY D WIERSMA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

NOT RENEWED

Business

First Name

KIMBERLY D

Last Name

WIERSMA

Business Name

KIMBERLY D WIERSMA

Original Issue Date

08/13/2013

Effective Date

06/03/2014

Expiration Date

05/31/2016

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

07/11/2016