KIMBERLY A TAUKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

TAUKE

Business Name

KIMBERLY A TAUKE

Original Issue Date

08/17/2007

Effective Date

03/27/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021