KELLY MAE BORNEMAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041579763

License Status

ACTIVE

Business

First Name

KELLY

Middle

MAE

Last Name

BORNEMAN

Business Name

KELLY MAE BORNEMAN

Original Issue Date

01/15/2025

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

ST JACOB

State

Zip

62281

Ever Disciplined

LastModifiedDate

03/09/2026