KELLY JO KULAGIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

KULAGIN

Business Name

KELLY JO KULAGIN

Original Issue Date

07/17/2008

Effective Date

05/20/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012