ALPHA J KALLENBACH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041125176

License Status

INACTIVE

Business

First Name

ALPHA J

Last Name

KALLENBACH

Business Name

ALPHA J KALLENBACH

Original Issue Date

03/01/1968

Effective Date

03/01/1968

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006