KATHLEEN A MONTGOMERY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193289

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

MONTGOMERY

Business Name

KATHLEEN A MONTGOMERY

Original Issue Date

10/17/1979

Effective Date

03/19/2012

Expiration Date

05/31/2014

City

MARQUETTE HEIGHTS

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/03/2014