KIMBERLY A KISH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

KISH

Business Name

KIMBERLY A KISH

Original Issue Date

10/04/2012

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026