KRISTIN M KING Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

Last Name

KING

Business Name

KRISTIN M KING

Original Issue Date

11/05/2015

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

TREMONT

State

Zip

61568

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026