ELLEN LAVIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021853

License Status

NOT RENEWED

Business

First Name

ELLEN

Last Name

LAVIN

Business Name

ELLEN LAVIN

Original Issue Date

12/22/1967

City

NORTHRIDGE

State

Zip

91234

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/21/2005