MATTHEW J KELLENBERGER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041277274

License Status

NOT RENEWED

Business

First Name

MATTHEW J

Last Name

KELLENBERGER

Business Name

MATTHEW J KELLENBERGER

Original Issue Date

10/13/1993

Effective Date

10/13/1993

Expiration Date

05/31/2006

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006

Case Number

2002004607

Action

Suspension

Discipline Start Date

06/11/2004

Discipline Reason

Voluntarily surrendered his Arizona license.