KIMBERLY JAYNE FONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041464853

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

JAYNE

Last Name

FONG

Business Name

KIMBERLY JAYNE FONG

Original Issue Date

05/22/2018

Effective Date

05/22/2018

Expiration Date

09/30/2020

City

COLLIERVILLE

State

Zip

38017

Ever Disciplined

LastModifiedDate

01/14/2021