KELLY S WHITEHEAD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041335646

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

WHITEHEAD

Business Name

KELLY S WHITEHEAD

Original Issue Date

07/16/2003

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021