RANITA R KELLER Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

INOPERATIVE

Business

First Name

RANITA

Middle

Last Name

KELLER

Business Name

RANITA R KELLER

Original Issue Date

06/05/2015

Effective Date

06/05/2015

Expiration Date

05/31/2016

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

06/05/2015