ELLEN F FUNDERBURK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041120101

License Status

NOT RENEWED

Business

First Name

ELLEN F

Last Name

FUNDERBURK

Business Name

ELLEN F FUNDERBURK

Original Issue Date

12/19/1966

Effective Date

04/05/2010

Expiration Date

05/31/2012

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

07/10/2012