ROBERTA KELLOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041248131

License Status

NOT RENEWED

Business

First Name

ROBERTA

Last Name

KELLOM

Business Name

ROBERTA KELLOM

Original Issue Date

08/02/1988

Effective Date

08/02/1988

Expiration Date

05/31/2000

City

GARY

State

Zip

46404

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006