ROBERTA KELLOM - Registered Nurse License in Indiana | # 041248131

ROBERTA KELLOM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041248131

License Status

NOT RENEWED

Business

N

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

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006