BETHANY S MELLOR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090258

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

Last Name

MELLOR

Business Name

BETHANY S MELLOR

Original Issue Date

09/16/2004

Effective Date

01/18/2005

Expiration Date

01/31/2007

City

RUSHVILLE

State

Zip

62681

County

SCHUYLER

Ever Disciplined

LastModifiedDate

03/16/2007