KELLY MARIE GALLOIS LARSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041406712

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

MARIE GALLOIS

Last Name

LARSON

Business Name

KELLY MARIE GALLOIS LARSON

Original Issue Date

10/18/2012

Effective Date

04/30/2022

Expiration Date

06/30/2024

City

BURLINGTON

State

Zip

53105

Ever Disciplined

LastModifiedDate

02/05/2025