MARY A ELLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041110258

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

ELLIS

Business Name

MARY A ELLIS

Original Issue Date

07/13/1964

Effective Date

07/13/1964

Expiration Date

05/31/1984

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006