Mattie Theresa Kellum
InactiveIllinois license 041211436
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041211436
- Status
- Inactive
- First issued
- November 4, 1982
- Expired
- May 31, 2016
- License holder
- Mattie Theresa Kellum
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 05/28/2014
Contact
Chicago, IL 60628
Cook County