KIMBERLY A WISE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041280447

License Status

NOT RENEWED

Business

First Name

KIMBERLY A

Last Name

WISE

Business Name

KIMBERLY A WISE

Original Issue Date

04/09/1994

Effective Date

06/15/2020

Expiration Date

08/31/2022

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/14/2022