THERESA A KETTELHAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199725

License Status

NOT RENEWED

Business

First Name

THERESA A

Last Name

KETTELHAKE

Business Name

THERESA A KETTELHAKE

Original Issue Date

11/17/1980

Effective Date

06/04/2018

Expiration Date

09/30/2020

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021