MIMI SUZETTE KELLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041136767

License Status

INACTIVE

Business

First Name

MIMI SUZETTE

Last Name

KELLER

Business Name

MIMI SUZETTE KELLER

Original Issue Date

10/06/1970

Effective Date

10/06/1970

City

PENFIELD

State

Zip

61862

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006