KIMBERLY D DAVIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****93

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

DAVIS

Business Name

KIMBERLY D DAVIS

Original Issue Date

08/23/2024

Effective Date

08/23/2024

Expiration Date

05/31/2026

City

BECKEMEYER

State

Zip

62219

County

CLINTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026