MAVIS LIESKE KELLY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043027019

License Status

INACTIVE

Business

First Name

MAVIS LIESKE

Last Name

KELLY

Business Name

MAVIS LIESKE KELLY

Original Issue Date

07/28/1970

Effective Date

11/17/2008

Expiration Date

01/31/2011

City

SURPRISE

State

Zip

85374

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/03/2010