KELLY L RUCKER Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

INOPERATIVE

Business

First Name

KELLY

Middle

Last Name

RUCKER

Business Name

KELLY L RUCKER

Original Issue Date

10/04/2011

Effective Date

05/02/2012

Expiration Date

05/31/2014

City

HARRISBURG

State

Zip

17109

Ever Disciplined

LastModifiedDate

04/30/2012