KIMBERLY A BLACCONIERE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041275918

License Status

INACTIVE

Business

First Name

KIMBERLY A

Last Name

BLACCONIERE

Business Name

KIMBERLY A BLACCONIERE

Original Issue Date

10/12/1993

Effective Date

03/22/2010

Expiration Date

05/31/2012

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012