CHARLOTTE W ENNIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041119431

License Status

INACTIVE

Business

First Name

CHARLOTTE W

Last Name

ENNIS

Business Name

CHARLOTTE W ENNIS

Original Issue Date

11/07/1966

Effective Date

03/20/2012

Expiration Date

05/31/2014

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/06/2014