KIMBERLY J LONGFELLOW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085376

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

LONGFELLOW

Business Name

KIMBERLY J LONGFELLOW

Original Issue Date

09/27/2000

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

HOOPESTON

State

Zip

60942

Ever Disciplined

LastModifiedDate

10/15/2005