KELLY J MILLARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086008

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

MILLARD

Business Name

KELLY J MILLARD

Original Issue Date

03/21/2001

Effective Date

01/24/2017

Expiration Date

01/31/2019

City

MASON CITY

State

Zip

62664

Ever Disciplined

LastModifiedDate

03/28/2019