MATTIE THERESA KELLUM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041211436

License Status

INACTIVE

Business

First Name

MATTIE THERESA

Last Name

KELLUM

Business Name

MATTIE THERESA KELLUM

Original Issue Date

11/04/1982

Effective Date

05/28/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2016