ELLEEN MARLENE MODRO - Registered Nurse License in Michigan | # 043012158

ELLEEN MARLENE MODRO

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012158

License Status

NOT RENEWED

Business

N

First Name

ELLEEN MARLENE

Last Name

MODRO

Business Name

ELLEEN MARLENE MODRO

Original Issue Date

04/21/1964

Expiration Date

05/01/1982

State

MI

Ever Disciplined

N

LastModifiedDate

10/21/2005