KELLY M STORIE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041312795

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

STORIE

Business Name

KELLY M STORIE

Original Issue Date

12/28/1998

Effective Date

12/28/1998

Expiration Date

05/31/2004

City

PHOENIX

State

Zip

85050

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/09/2006