KIMBERLY M HAVEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089603

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

HAVEN

Business Name

KIMBERLY M HAVEN

Original Issue Date

02/23/2004

Effective Date

12/30/2004

Expiration Date

01/31/2007

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

03/16/2007