KELLY A LANE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005706

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

LANE

Business Name

KELLY A LANE

Original Issue Date

09/14/2005

Effective Date

05/06/2010

Expiration Date

05/31/2012

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/10/2012