JACKIE L KILTZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041331010

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

Last Name

KILTZ

Business Name

JACKIE L KILTZ

Original Issue Date

08/01/2002

Effective Date

04/21/2014

Expiration Date

05/31/2016

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2016