KELLY ANN EVANS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANN

Last Name

EVANS

Business Name

KELLY ANN EVANS

Original Issue Date

01/09/2002

Effective Date

01/09/2002

Expiration Date

05/31/2004

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/09/2006