KELLY JANE SLADE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

INACTIVE

Business

First Name

KELLY

Middle

JANE

Last Name

SLADE

Business Name

KELLY JANE SLADE

Original Issue Date

09/29/2014

Effective Date

06/26/2020

Expiration Date

05/31/2022

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

06/26/2020