SHIRLEY J KELLERMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083559

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

Last Name

KELLERMAN

Business Name

SHIRLEY J KELLERMAN

Original Issue Date

03/19/1999

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

10/15/2005