KIM M VANDERVALL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041322403

License Status

INACTIVE

Business

First Name

KIM

Middle

Last Name

VANDERVALL

Business Name

KIM M VANDERVALL

Original Issue Date

10/23/2000

Effective Date

05/21/2022

Expiration Date

06/30/2024

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

03/02/2024