ROBERTA KELLETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032006

License Status

NOT RENEWED

Business

First Name

ROBERTA

Last Name

KELLETT

Business Name

ROBERTA KELLETT

Original Issue Date

12/13/1972

Expiration Date

01/31/1989

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005