DANA L KINGMA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007087

License Status

NOT RENEWED

Business

First Name

DANA

Middle

Last Name

KINGMA

Business Name

DANA L KINGMA

Original Issue Date

05/21/2008

Effective Date

04/04/2012

Expiration Date

05/31/2014

City

WESTFIELD

State

Zip

46074

County

INDIANA

Ever Disciplined

LastModifiedDate

07/03/2014