KIMBERLY J FUQUA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086723

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

FUQUA

Business Name

KIMBERLY J FUQUA

Original Issue Date

11/06/2001

Effective Date

12/13/2004

Expiration Date

01/31/2005

City

NORRIS CITY

State

Zip

62869

County

WHITE

Ever Disciplined

LastModifiedDate

10/15/2005