KIPLING JAY QUALLS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041310168

License Status

INACTIVE

Business

First Name

KIPLING

Middle

JAY

Last Name

QUALLS

Business Name

KIPLING JAY QUALLS

Original Issue Date

08/07/1998

Effective Date

08/07/1998

Expiration Date

05/31/2002

City

YORKTOWN

State

Zip

23693

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/09/2006