KELLIE J GIBBONS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041335792

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

Last Name

GIBBONS

Business Name

KELLIE J GIBBONS

Original Issue Date

07/18/2003

Effective Date

09/30/2020

Expiration Date

08/31/2022

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/14/2022