SUSAN ALICE KELLEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041337024

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ALICE

Last Name

KELLEY

Business Name

SUSAN ALICE KELLEY

Original Issue Date

08/22/2003

Effective Date

08/22/2003

Expiration Date

05/31/2008

City

MISHWAKA

State

Zip

46545

County

INDIANA

Ever Disciplined

LastModifiedDate

07/11/2008