KELLY NEVINS PETZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002884

License Status

INACTIVE

Business

First Name

KELLY

Middle

NEVINS

Last Name

PETZ

Business Name

KELLY NEVINS PETZ

Original Issue Date

07/12/2001

Effective Date

07/12/2001

Expiration Date

05/31/2006

City

CALIFORNIA

State

Zip

20619

County

MARYLAND

Ever Disciplined

LastModifiedDate

06/09/2008