SUSAN KELLER NP Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041230909

License Status

INACTIVE

Business

Title

First Name

SUSAN

Last Name

KELLER

Business Name

SUSAN KELLER NP

Original Issue Date

10/23/1985

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/08/2020