KELLY K FORSTER IVY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010141

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

FORSTER IVY

Business Name

KELLY K FORSTER IVY

Original Issue Date

12/24/2012

Effective Date

06/23/2020

Expiration Date

05/31/2022

City

CARY

State

Zip

60013

County

MCHENRY

Ever Disciplined

LastModifiedDate

06/23/2020