MARY E ELY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

INACTIVE

Business

First Name

MARY E

Last Name

ELY

Business Name

MARY E ELY

Original Issue Date

07/09/2007

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/30/2018