KELLY L COLVIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088363

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

COLVIN

Business Name

KELLY L COLVIN

Original Issue Date

03/17/2003

Effective Date

12/13/2004

Expiration Date

01/31/2005

City

COAL CITY

State

Zip

60416

County

GRUNDY

Ever Disciplined

LastModifiedDate

10/21/2005