KIMBERLY S BORM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041418078

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

BORM

Business Name

KIMBERLY S BORM

Original Issue Date

02/18/2014

Effective Date

04/19/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

MCHENRY

Ever Disciplined

LastModifiedDate

01/14/2021