KELLY J DYKSTRA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043118864

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

DYKSTRA

Business Name

KELLY J DYKSTRA

Original Issue Date

06/02/2014

Effective Date

02/01/2017

Expiration Date

01/31/2019

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

03/28/2019