ELLEN G GRAVES Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041131369

License Status

INACTIVE

Business

First Name

ELLEN G

Last Name

GRAVES

Business Name

ELLEN G GRAVES

Original Issue Date

08/08/1969

Effective Date

08/08/1969

Expiration Date

05/31/1994

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006