VIVIAN KELLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032005

License Status

INACTIVE

Business

First Name

VIVIAN

Last Name

KELLER

Business Name

VIVIAN KELLER

Original Issue Date

12/13/1972

Expiration Date

01/31/1989

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005