KELLY L WICOFF Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071309

License Status

INACTIVE

Business

First Name

KELLY L

Last Name

WICOFF

Business Name

KELLY L WICOFF

Original Issue Date

01/16/1992

Effective Date

01/22/2009

Expiration Date

01/31/2011

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/03/2010