KELLY M STONE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

STONE

Business Name

KELLY M STONE

Original Issue Date

01/14/2020

Effective Date

07/29/2020

Expiration Date

05/31/2022

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/29/2020