KELLY M BRADHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041168730

License Status

NOT RENEWED

Business

First Name

KELLY M

Last Name

BRADHAM

Business Name

KELLY M BRADHAM

Original Issue Date

11/01/1976

Effective Date

07/27/2022

Expiration Date

06/30/2024

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/05/2025