KYMBERLY DANIELLE LOCKARD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

ACTIVE

Business

First Name

KYMBERLY

Middle

DANIELLE

Last Name

LOCKARD

Business Name

KYMBERLY DANIELLE LOCKARD

Original Issue Date

09/14/2022

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026