KIM L FIELDS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041916

License Status

INACTIVE

Business

First Name

KIM L

Last Name

FIELDS

Business Name

KIM L FIELDS

Original Issue Date

07/08/1977

Effective Date

01/27/2009

Expiration Date

01/31/2011

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/03/2010