KELLY JANE SLADE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011917

License Status

INACTIVE

Business

First Name

KELLY

Middle

JANE

Last Name

SLADE

Business Name

KELLY JANE SLADE

Original Issue Date

09/25/2014

Effective Date

06/16/2020

Expiration Date

05/31/2022

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

06/16/2020