KELLY NEVINS PETZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041260947

License Status

INACTIVE

Business

First Name

KELLY

Middle

NEVINS

Last Name

PETZ

Business Name

KELLY NEVINS PETZ

Original Issue Date

12/05/1990

Effective Date

12/05/1990

Expiration Date

05/31/2006

City

CALIFORNIA

State

Zip

20619

County

MARYLAND

Ever Disciplined

LastModifiedDate

10/09/2006