MARIBETH E KELLY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041159334

License Status

INACTIVE

Business

First Name

MARIBETH

Middle

Last Name

KELLY

Business Name

MARIBETH E KELLY

Original Issue Date

12/13/1974

Effective Date

03/19/2014

Expiration Date

05/31/2016

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/16/2016