KELLY D FAULKNER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006267

License Status

INACTIVE

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

WEST PADUCAH

State

Zip

42086

County

KENTUCKY

Ever Disciplined

LastModifiedDate

06/09/2008