KIMBERLY A DISHMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

DISHMAN

Business Name

KIMBERLY A DISHMAN

Original Issue Date

11/03/2009

Effective Date

04/10/2024

Expiration Date

05/31/2026

City

PRAIRIE VILLAGE

State

Zip

66208

County

KANSAS

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026