KIMBERLY A BUSBOOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041270649

License Status

NOT RENEWED

Business

First Name

KIMBERLY A

Last Name

BUSBOOM

Business Name

KIMBERLY A BUSBOOM

Original Issue Date

10/05/1992

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

ROYAL

State

Zip

61871

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021