SUSAN E ELLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041159424

License Status

NOT RENEWED

Business

First Name

SUSAN E

Last Name

ELLIS

Business Name

SUSAN E ELLIS

Original Issue Date

12/12/1974

Effective Date

12/12/1974

Expiration Date

05/01/1982

City

BELLEVILLE

State

Zip

62221

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006