MARY J KELLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010429

License Status

NOT RENEWED

Business

First Name

MARY J

Last Name

KELLER

Business Name

MARY J KELLER

Original Issue Date

04/02/1962

Effective Date

11/08/2012

Expiration Date

01/31/2015

City

DEFOREST

State

Zip

53532

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/09/2015