KIMBERLY SMALLWOOD PUTCHAVEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****30

License Status

ACTIVE

Business

First Name

KIMBERLY

Last Name

SMALLWOOD PUTCHAVEN

Business Name

KIMBERLY SMALLWOOD PUTCHAVEN

Original Issue Date

03/05/2025

Effective Date

03/05/2025

Expiration Date

05/31/2026

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/02/2026