KIMBERLY KRISTINE LOPEZ

Business Entity
ACTIVE

Advanced Practice Nurse

FULL PRACTICE AUTHORITY APRN CONTROL SUB

37*****12

ACTIVE

N

KIMBERLY

KRISTINE

LOPEZ

KIMBERLY KRISTINE LOPEZ

03/26/2021

03/15/2026

05/31/2028

BLOOMINGTON

IL

61704

MCLEAN

N

03/15/2026