MARY MOEN KELLY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041210163

License Status

INACTIVE

Business

First Name

MARY MOEN

Last Name

KELLY

Business Name

MARY MOEN KELLY

Original Issue Date

05/10/1982

Effective Date

05/10/1982

Expiration Date

05/31/1988

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006