KIMBERLY L PRUEMER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

PRUEMER

Business Name

KIMBERLY L PRUEMER

Original Issue Date

07/13/2022

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026