MIMI SUZETTE KELLER - Registered Nurse License in Illinois | # 041136767

MIMI SUZETTE KELLER

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041136767

License Status

INACTIVE

Business

N

First Name

MIMI SUZETTE

Last Name

KELLER

Business Name

MIMI SUZETTE KELLER

Original Issue Date

10/06/1970

Effective Date

10/06/1970

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006