KRISTEN KIM HEIMBUCH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

KIM

Last Name

HEIMBUCH

Business Name

KRISTEN KIM HEIMBUCH

Original Issue Date

02/24/2016

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

GALENA

State

Zip

61036

County

JO DAVIESS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026