KELLY DIANN A FOSTER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080487

License Status

INACTIVE

Business

First Name

KELLY DIANN

Middle

Last Name

FOSTER

Business Name

KELLY DIANN A FOSTER

Original Issue Date

02/01/1997

Effective Date

12/05/2002

Expiration Date

01/31/2003

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005