MASHANDA D KELLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080169

License Status

NOT RENEWED

Business

First Name

MASHANDA D

Last Name

KELLER

Business Name

MASHANDA D KELLER

Original Issue Date

11/08/1996

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

DANVILLE

State

Zip

61834

County

VERMILION

Ever Disciplined

LastModifiedDate

10/15/2005