KELLY JO WALTER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075784

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

WALTER

Business Name

KELLY JO WALTER

Original Issue Date

07/05/1994

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

BRIGHTON

State

Zip

62012

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/15/2005