KIMBERLY L WILSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104017

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

WILSON

Business Name

KIMBERLY L WILSON

Original Issue Date

08/31/2007

Effective Date

03/30/2017

Expiration Date

01/31/2019

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

03/28/2019

Case Number

2013005086

Action

Refuse To Renew

Discipline Start Date

07/31/2014

Discipline End Date

09/14/2015

Discipline Reason

after having been convicted of driving on a suspended or revoked driver's license and failing to report said conviction to the Department.