CHANTALE ELLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041322214

License Status

NOT RENEWED

Business

First Name

CHANTALE

Last Name

ELLIS

Business Name

CHANTALE ELLIS

Original Issue Date

10/05/2000

Effective Date

10/05/2000

Expiration Date

05/31/2002

City

PLANT CITY

State

Zip

33566

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/09/2006