MICHAEL A KELLY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041145799

License Status

NOT RENEWED

Business

First Name

MICHAEL A

Last Name

KELLY

Business Name

MICHAEL A KELLY

Original Issue Date

11/03/1972

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021