KELLER F PHALEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041455400

License Status

NOT RENEWED

Business

First Name

KELLER

Middle

Last Name

PHALEN

Business Name

KELLER F PHALEN

Original Issue Date

07/20/2017

Effective Date

05/04/2022

Expiration Date

06/30/2024

City

DYER

State

Zip

46311

Ever Disciplined

LastModifiedDate

02/05/2025