KELLY D SUMMERVILLE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041384005

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

SUMMERVILLE

Business Name

KELLY D SUMMERVILLE

Original Issue Date

05/26/2010

Effective Date

05/11/2020

Expiration Date

08/31/2022

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

10/14/2022