KELLY M WORTMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115882

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

WORTMAN

Business Name

KELLY M WORTMAN

Original Issue Date

10/17/2012

Effective Date

01/28/2021

Expiration Date

01/31/2023

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

03/31/2023