KELLY D FAULKNER Advanced Practice Nurse License verification

Business Entity

CANCELLED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

CANCELLED

Business

First Name

KELLY

Middle

Last Name

FAULKNER

Business Name

KELLY D FAULKNER

Original Issue Date

10/19/2006

Effective Date

10/19/2006

Expiration Date

05/31/2008

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

03/11/2008