KETTLY BELFORT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065591

License Status

NOT RENEWED

Business

First Name

KETTLY

Last Name

BELFORT

Business Name

KETTLY BELFORT

Original Issue Date

01/06/1988

Expiration Date

01/31/1991

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005