SUSAN K KELLY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041357530

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

KELLY

Business Name

SUSAN K KELLY

BusinessDBA

KELLY

Original Issue Date

12/07/2006

Effective Date

05/30/2014

Expiration Date

05/31/2016

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

07/11/2016