KIMBERLY M LEWIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104431

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

LEWIS

Business Name

KIMBERLY M LEWIS

Original Issue Date

09/28/2007

Effective Date

07/02/2012

Expiration Date

01/31/2013

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

03/20/2013