MARY E ELY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005984

License Status

INACTIVE

Business

First Name

MARY E

Last Name

ELY

Business Name

MARY E ELY

Original Issue Date

03/30/2006

Effective Date

05/17/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/30/2018