KELLIE A JOHNSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041315119

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

Last Name

JOHNSON

Business Name

KELLIE A JOHNSON

Original Issue Date

07/27/1999

Effective Date

07/27/1999

Expiration Date

05/31/2004

City

AZUSA

State

Zip

91702

Ever Disciplined

LastModifiedDate

10/09/2006