KIM E KELLY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036170

License Status

INACTIVE

Business

First Name

KIM E

Last Name

KELLY

Business Name

KIM E KELLY

Original Issue Date

01/30/1975

Effective Date

11/01/2004

Expiration Date

01/31/2007

City

GARDEN PRAIRIE

State

Zip

61038

County

BOONE

Ever Disciplined

LastModifiedDate

11/03/2006