KELLY M TILLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041231672

License Status

NOT RENEWED

Business

First Name

KELLY M

Last Name

TILLIS

Business Name

KELLY M TILLIS

Original Issue Date

10/25/1985

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/14/2024