LILLIE P KELLUM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025254

License Status

INACTIVE

Business

First Name

LILLIE P

Last Name

KELLUM

Business Name

LILLIE P KELLUM

Original Issue Date

07/07/1969

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005