KELLY ANN LANE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010624

License Status

INACTIVE

Business

First Name

KELLY

Middle

ANN

Last Name

LANE

Business Name

KELLY ANN LANE

Original Issue Date

08/08/2013

Effective Date

03/12/2014

Expiration Date

05/31/2016

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

03/16/2016