ELLEN J WHITEHEAD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041112403

License Status

INACTIVE

Business

First Name

ELLEN J

Last Name

WHITEHEAD

Business Name

ELLEN J WHITEHEAD

Original Issue Date

11/25/1964

Effective Date

11/25/1964

Expiration Date

05/31/2006

City

ILLIOPOLIS

State

Zip

62539

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006