KELLY ANN TONIELLI DAVIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

INACTIVE

Business

First Name

KELLY

Middle

ANN TONIELLI

Last Name

DAVIS

Business Name

KELLY ANN TONIELLI DAVIS

Original Issue Date

08/21/2017

Effective Date

04/17/2018

Expiration Date

09/30/2020

City

OTTAWA

State

Zip

61350

Ever Disciplined

LastModifiedDate

04/16/2018