KIMBERLY ANN STACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041167035

License Status

INACTIVE

Business

First Name

KIMBERLY ANN

Last Name

STACK

Business Name

KIMBERLY ANN STACK

Original Issue Date

05/11/1976

Effective Date

05/11/1976

Expiration Date

05/31/1996

City

BEVERLY HILLS

State

Zip

34465

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/27/2006