ELLEN A BONNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

NOT RENEWED

Business

First Name

ELLEN A

Last Name

BONNER

Business Name

ELLEN A BONNER

Original Issue Date

12/15/2003

Effective Date

12/15/2003

Expiration Date

05/31/2006

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006