KELLI C TELLSTROM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082861

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

Last Name

TELLSTROM

Business Name

KELLI C TELLSTROM

Original Issue Date

10/08/1998

Effective Date

02/22/1999

Expiration Date

01/31/1999

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/21/2005