PHYLLIS SUE KELLEY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041137159

License Status

INACTIVE

Business

First Name

PHYLLIS SUE

Last Name

KELLEY

Business Name

PHYLLIS SUE KELLEY

Original Issue Date

10/06/1970

Effective Date

10/06/1970

Expiration Date

05/31/2000

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006