KETTLY BELFORT - Registered Nurse License in Illinois | # 043065591

KETTLY BELFORT

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065591

License Status

NOT RENEWED

Business

N

First Name

KETTLY

Last Name

BELFORT

Business Name

KETTLY BELFORT

Original Issue Date

01/06/1988

Expiration Date

01/31/1991

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005