LATRESE A ELLIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041312043

License Status

INACTIVE

Business

First Name

LATRESE

Middle

Last Name

ELLIS

Business Name

LATRESE A ELLIS

Original Issue Date

10/13/1998

Effective Date

10/13/1998

Expiration Date

05/31/2006

City

VILLA RICA

State

Zip

30180

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/09/2006