KIMBERLY A KELLER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043109344

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

KELLER

Business Name

KIMBERLY A KELLER

Original Issue Date

11/09/2009

Effective Date

01/15/2025

Expiration Date

01/31/2027

City

SAINT ELMO

State

Zip

62458

County

FAYETTE

Ever Disciplined

LastModifiedDate

08/18/2025

Case Number

2025006104

Action

Suspension

Discipline Start Date

08/18/2025

Discipline End Date

08/22/2025

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 08/25/2025.