KELLY MARIE HEITHOLT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041414805

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

MARIE

Last Name

HEITHOLT

Business Name

KELLY MARIE HEITHOLT

Original Issue Date

09/03/2013

Effective Date

04/16/2014

Expiration Date

05/31/2016

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/11/2016