KATHLEEN DIANE LIVELY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078718

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

DIANE

Last Name

LIVELY

Business Name

KATHLEEN DIANE LIVELY

Original Issue Date

12/14/1995

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

TAMAROA

State

Zip

62888

County

PERRY

Ever Disciplined

LastModifiedDate

10/15/2005