DIANA L KELLEY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037358

License Status

INACTIVE

Business

First Name

DIANA L

Last Name

KELLEY

Business Name

DIANA L KELLEY

Original Issue Date

06/10/1975

Effective Date

11/14/2002

Expiration Date

01/31/2003

City

COTTAGE HILLS

State

Zip

62018

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005