KELLY L BOZARTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041295446

License Status

NOT RENEWED

Business

First Name

KELLY L

Last Name

BOZARTH

Business Name

KELLY L BOZARTH

Original Issue Date

02/29/1996

Effective Date

02/29/1996

Expiration Date

05/31/2002

City

ELKHART

State

Zip

62634

County

LOGAN

Ever Disciplined

LastModifiedDate

10/09/2006