KAILEY A LAVINE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041503174

License Status

NOT RENEWED

Business

First Name

KAILEY

Middle

Last Name

LAVINE

Business Name

KAILEY A LAVINE

Original Issue Date

12/01/2020

Effective Date

12/01/2020

Expiration Date

08/31/2022

City

BLACKLICK

State

Zip

43004

Ever Disciplined

LastModifiedDate

10/14/2022