KELLY E BLAIR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087978

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

BLAIR

Business Name

KELLY E BLAIR

Original Issue Date

11/13/2002

Effective Date

11/30/2004

Expiration Date

01/31/2007

City

ELIZABETHTOWN

State

Zip

62931

County

HARDIN

Ever Disciplined

LastModifiedDate

03/16/2007