KELLY LAUREL LOPEZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012263

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

LAUREL

Last Name

LOPEZ

Business Name

KELLY LAUREL LOPEZ

Original Issue Date

12/02/2014

Effective Date

05/02/2022

Expiration Date

06/30/2024

City

ALBUQUERQUE

State

Zip

87111

Ever Disciplined

LastModifiedDate

02/05/2025