AMANDA N PELLUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043103786

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

PELLUM

Business Name

AMANDA N PELLUM

Original Issue Date

07/26/2007

Effective Date

07/26/2007

Expiration Date

01/31/2009

City

PHILO

State

Zip

61864

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/17/2009