ELLEN R PACE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

Last Name

PACE

Business Name

ELLEN R PACE

Original Issue Date

08/07/2013

Effective Date

08/07/2013

Expiration Date

05/31/2014

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

07/03/2014