MICHELLE SUSAN KIRK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

SUSAN

Last Name

KIRK

Business Name

MICHELLE SUSAN KIRK

Original Issue Date

10/12/2007

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

08/11/2010