KIM M PICKENS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041183136

License Status

INACTIVE

Business

First Name

KIM M

Last Name

PICKENS

Business Name

KIM M PICKENS

Original Issue Date

10/16/1978

Effective Date

05/31/2012

Expiration Date

05/31/2014

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/06/2014