DIANE KELLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111069

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

KELLER

Business Name

DIANE KELLER

Original Issue Date

10/09/1964

Effective Date

05/21/2012

Expiration Date

05/31/2014

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

07/03/2014