KIMBERLY DAWN PEERY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

DAWN

Last Name

PEERY

Business Name

KIMBERLY DAWN PEERY

Original Issue Date

04/28/2011

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026