ELLEN ROSE KENNELLY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

ROSE

Last Name

KENNELLY

Business Name

ELLEN ROSE KENNELLY

Original Issue Date

10/26/2015

Effective Date

10/26/2015

Expiration Date

05/31/2016

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/11/2016