KIM M MANK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

ACTIVE

Business

First Name

KIM M

Last Name

MANK

Business Name

KIM M MANK

Original Issue Date

09/21/2009

Effective Date

03/27/2024

Expiration Date

05/31/2026

City

O FALLON

State

Zip

62269

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026