KIMBERLY KAY TARALLO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

KAY

Last Name

TARALLO

Business Name

KIMBERLY KAY TARALLO

Original Issue Date

08/20/2010

Effective Date

08/20/2010

Expiration Date

05/31/2012

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/10/2012