NITA J KELLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010008

License Status

INACTIVE

Business

First Name

NITA J

Last Name

KELLER

Business Name

NITA J KELLER

Original Issue Date

09/06/1961

Expiration Date

01/31/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005