ELLENITA R KIEPER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041332477

License Status

NOT RENEWED

Business

First Name

ELLENITA

Middle

Last Name

KIEPER

Business Name

ELLENITA R KIEPER

Original Issue Date

09/19/2002

Effective Date

09/19/2002

Expiration Date

05/31/2008

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

07/11/2008