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*****93

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

Last Name

PACE

Business Name

ELLEN R PACE

Original Issue Date

09/16/2014

Effective Date

09/16/2014

Expiration Date

05/31/2016

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/11/2016