KELLY L HOLT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

HOLT

Business Name

KELLY L HOLT

Original Issue Date

05/28/2009

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

07/10/2012