STACEY ANN KELLY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041312109

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

ANN

Last Name

KELLY

Business Name

STACEY ANN KELLY

Original Issue Date

10/21/1998

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

DAVENPORT

State

Zip

52803

County

IOWA

Ever Disciplined

LastModifiedDate

01/14/2021