KELLY J SAMUEL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041469124

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

SAMUEL

Business Name

KELLY J SAMUEL

Original Issue Date

08/24/2018

Effective Date

08/24/2018

Expiration Date

09/30/2020

City

WRIGHT CITY

State

Zip

63390

Ever Disciplined

LastModifiedDate

01/27/2022