KIMBERLY D BLACKMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043116103

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

BLACKMAN

Business Name

KIMBERLY D BLACKMAN

Original Issue Date

11/27/2012

Effective Date

01/28/2015

Expiration Date

01/31/2017

City

SIMPSON

State

Zip

62985

County

POPE

Ever Disciplined

LastModifiedDate

03/27/2017