M ST DOMINICK KELLY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041017221

License Status

INACTIVE

Business

First Name

Middle

ST DOMINICK

Last Name

KELLY

Prefix

Business Name

M ST DOMINICK KELLY

Original Issue Date

10/20/1928

Effective Date

10/20/1928

City

FOREST PARK

State

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006