PATRICIA ELLEN SMALL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041145548

License Status

INACTIVE

Business

First Name

PATRICIA ELLEN

Last Name

SMALL

Business Name

PATRICIA ELLEN SMALL

Original Issue Date

11/02/1972

Effective Date

04/05/2010

Expiration Date

05/31/2012

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

03/08/2012