EDMUND KETCHUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016959

License Status

NOT RENEWED

Business

First Name

EDMUND

Last Name

KETCHUM

Business Name

EDMUND KETCHUM

Original Issue Date

11/30/1966

Expiration Date

01/31/1995

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/21/2005