MARY R ELLIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010210

License Status

INACTIVE

Business

First Name

MARY R

Last Name

ELLIS

Business Name

MARY R ELLIS

Original Issue Date

04/02/1962

City

PHOENIX

State

Zip

85008

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/21/2005