WAYNE ENOCH ELLIS - Advanced Practice Nurse License in Illinois | # 209003690

WAYNE ENOCH ELLIS

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003690

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

06/09/2008