MARY KAY ELLIS - Registered Nurse License in Indiana | # 043020532

MARY KAY ELLIS

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020532

License Status

INACTIVE

Business

N

First Name

MARY KAY

Last Name

ELLIS

Business Name

MARY KAY ELLIS

Original Issue Date

07/07/1967

Expiration Date

01/31/1993

State

IN

Ever Disciplined

N

LastModifiedDate

10/21/2005