DEBBIE LYNN KELLY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

INACTIVE

Business

First Name

DEBBIE

Middle

LYNN

Last Name

KELLY

Business Name

DEBBIE LYNN KELLY

Original Issue Date

03/24/2011

Effective Date

10/19/2020

Expiration Date

05/31/2022

City

CENTREVILLE

State

Zip

66207

County

MADISON

Ever Disciplined

LastModifiedDate

10/19/2020