TIFFANY M KELLEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339890

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

KELLEY

Business Name

TIFFANY M KELLEY

Original Issue Date

05/20/2004

Effective Date

07/28/2014

Expiration Date

05/31/2016

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/11/2016