KIMBERLY A EGAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

EGAN

Business Name

KIMBERLY A EGAN

Original Issue Date

03/09/2015

Effective Date

03/09/2015

Expiration Date

05/31/2016

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2016