WAYNE ENOCH ELLIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003690

License Status

NOT RENEWED

Business

First Name

WAYNE

Middle

ENOCH

Last Name

ELLIS

Business Name

WAYNE ENOCH ELLIS

Original Issue Date

08/22/2001

Effective Date

08/22/2001

Expiration Date

05/31/2006

City

BUNKER HILL

State

Zip

62014

County

MACOUPIN

Ever Disciplined

LastModifiedDate

06/09/2008