KELLY A BEAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043055962

License Status

NOT RENEWED

Business

First Name

KELLY A

Last Name

BEAN

Business Name

KELLY A BEAN

Original Issue Date

02/23/1983

Expiration Date

01/31/1993

City

CHAMPAIGN

State

Zip

61820

Ever Disciplined

LastModifiedDate

10/21/2005