LESLIE A KELLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041245397

License Status

NOT RENEWED

Business

First Name

LESLIE A

Last Name

KELLER

Business Name

LESLIE A KELLER

Original Issue Date

10/02/1987

Effective Date

04/30/2012

Expiration Date

05/31/2014

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/03/2014