KELLY ANN KIRK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041341444

License Status

INACTIVE

Business

First Name

KELLY

Middle

ANN

Last Name

KIRK

Business Name

KELLY ANN KIRK

Original Issue Date

08/03/2004

Effective Date

08/03/2004

Expiration Date

05/31/2006

City

WAUWATOSA

State

Zip

53226

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006