ROBERTA A KETTLES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028544

License Status

NOT RENEWED

Business

First Name

ROBERTA A

Last Name

KETTLES

Business Name

ROBERTA A KETTLES

Original Issue Date

04/28/1971

Effective Date

01/23/2015

Expiration Date

01/31/2017

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/27/2017