KELLEY KIM BOSAK-RIVAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339413

License Status

NOT RENEWED

Business

First Name

KELLEY

Middle

KIM

Last Name

BOSAK-RIVAS

Business Name

KELLEY KIM BOSAK-RIVAS

Original Issue Date

03/11/2004

Effective Date

05/16/2008

Expiration Date

05/31/2010

City

SALEM

State

Zip

53168

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/30/2015