KELLY D COUNTS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005998

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

COUNTS

Business Name

KELLY D COUNTS

Original Issue Date

04/12/2006

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

WENTZVILLE

State

Zip

63385

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/09/2008