DEITRA S KELLY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043051136

License Status

NOT RENEWED

Business

First Name

DEITRA S

Last Name

KELLY

Business Name

DEITRA S KELLY

Original Issue Date

01/08/1981

Expiration Date

01/31/1989

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005