DIANE LUCILLE KELLY - Registered Nurse License in Wisconsin | # 041367155

DIANE LUCILLE KELLY

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041367155

License Status

INACTIVE

Business

N

First Name

DIANE

Middle

LUCILLE

Last Name

KELLY

Business Name

DIANE LUCILLE KELLY

Original Issue Date

03/28/2008

Effective Date

03/29/2012

Expiration Date

05/31/2014

State

WI

Ever Disciplined

N

LastModifiedDate

03/06/2014