ELLEN A WILEY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041076193

License Status

INACTIVE

Business

First Name

ELLEN A

Last Name

WILEY

Business Name

ELLEN A WILEY

Original Issue Date

01/01/1997

Expiration Date

05/31/2004

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006