KIMBERLY D GROSS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043123301

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

GROSS

Business Name

KIMBERLY D GROSS

Original Issue Date

10/21/2016

Effective Date

01/09/2017

Expiration Date

01/31/2019

City

RIDGWAY

State

Zip

62979

County

GALLATIN

Ever Disciplined

LastModifiedDate

03/28/2019