KIMBERLY D VAN WYNGARDEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

VAN WYNGARDEN

Business Name

KIMBERLY D VAN WYNGARDEN

Original Issue Date

02/04/2014

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

TINLEY PARK

State

Zip

60487

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026