KRISTEN M ELLENSOHN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004972

License Status

INACTIVE

Business

First Name

KRISTEN

Middle

Last Name

ELLENSOHN

Business Name

KRISTEN M ELLENSOHN

Original Issue Date

01/06/2004

Effective Date

04/25/2012

Expiration Date

05/31/2014

City

PORTLAND

State

Zip

04101

County

MAINE

Ever Disciplined

LastModifiedDate

03/06/2014