KELLY M WIRTZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087894

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

WIRTZ

Business Name

KELLY M WIRTZ

Original Issue Date

10/17/2002

Effective Date

01/13/2009

Expiration Date

01/31/2011

City

LOWELL

State

Zip

46356

Ever Disciplined

LastModifiedDate

03/10/2011