KEITH G BATEMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043061895

License Status

NOT RENEWED

Business

First Name

KEITH G

Last Name

BATEMAN

Business Name

KEITH G BATEMAN

Original Issue Date

11/04/1985

Expiration Date

01/31/1987

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005