KIMBERLY C MARTIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

MARTIN

Business Name

KIMBERLY C MARTIN

Original Issue Date

07/30/2009

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026