KELLYE R MOUNTS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089442

License Status

NOT RENEWED

Business

First Name

KELLYE

Middle

Last Name

MOUNTS

Business Name

KELLYE R MOUNTS

Original Issue Date

01/05/2004

Effective Date

11/25/2008

Expiration Date

01/31/2011

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

03/10/2011