KELLY JO ROTHERMAL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041349818

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

ROTHERMAL

Business Name

KELLY JO ROTHERMAL

Original Issue Date

10/31/2005

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

08/16/2010