KIMBERLY D BENKO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

BENKO

Business Name

KIMBERLY D BENKO

Original Issue Date

10/04/2005

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/10/2012