HOLLEY A KAZAKIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041424795

License Status

NOT RENEWED

Business

First Name

HOLLEY

Middle

Last Name

KAZAKIS

Business Name

HOLLEY A KAZAKIS

Original Issue Date

09/22/2014

Effective Date

05/18/2016

Expiration Date

05/31/2018

City

HAMPTON

State

Zip

03842

County

INDIANA

Ever Disciplined

LastModifiedDate

07/19/2018