KELLY ANDERSON SAMOLITIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006028

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANDERSON

Last Name

SAMOLITIS

Business Name

KELLY ANDERSON SAMOLITIS

Original Issue Date

05/04/2006

Effective Date

05/24/2010

Expiration Date

05/31/2012

City

CALDWELL

State

Zip

43724

Ever Disciplined

LastModifiedDate

07/10/2012