KELLEY LEE CELUCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041188066

License Status

NOT RENEWED

Business

First Name

KELLEY LEE

Last Name

CELUCH

Business Name

KELLEY LEE CELUCH

Original Issue Date

05/07/1979

Effective Date

05/07/1979

Expiration Date

05/31/1984

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006