KELLY A LANE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041311469

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

LANE

Business Name

KELLY A LANE

Original Issue Date

09/17/1998

Effective Date

05/06/2010

Expiration Date

05/31/2012

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/10/2012