KIMBERLEY J LARSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044881

License Status

NOT RENEWED

Business

First Name

KIMBERLEY

Middle

Last Name

LARSON

Business Name

KIMBERLEY J LARSON

Original Issue Date

08/10/1978

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/15/2005