KELLY J HAZLITT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041320849

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

HAZLITT

Business Name

KELLY J HAZLITT

Original Issue Date

08/21/2000

Effective Date

06/04/2018

Expiration Date

09/30/2020

City

BROKEN ARROW

State

Zip

74012

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

01/14/2021