KELLY L HOLT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

HOLT

Business Name

KELLY L HOLT

Original Issue Date

05/19/2011

Effective Date

05/22/2018

Expiration Date

09/30/2020

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

03/08/2020