STEPHANIE G KELLEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081434

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

KELLEY

Business Name

STEPHANIE G KELLEY

Original Issue Date

10/14/1997

Effective Date

12/29/2008

Expiration Date

01/31/2011

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

03/10/2011