KELLY A LANE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

LANE

Business Name

KELLY A LANE

Original Issue Date

03/09/2007

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

08/11/2010