KELLY S WHITEHEAD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086547

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

WHITEHEAD

Business Name

KELLY S WHITEHEAD

Original Issue Date

09/27/2001

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005