JEANETTE A KOTLEBA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041126939

License Status

NOT RENEWED

Business

First Name

JEANETTE A

Last Name

KOTLEBA

Business Name

JEANETTE A KOTLEBA

Original Issue Date

01/01/1997

Effective Date

05/11/2010

Expiration Date

05/31/2012

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/10/2012