KATHLEEN A OTT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041150653

License Status

NOT RENEWED

Business

First Name

KATHLEEN A

Last Name

OTT

Business Name

KATHLEEN A OTT

Original Issue Date

10/03/1973

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021