ELLEN LEIGH VANDERMARK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041165568

License Status

NOT RENEWED

Business

First Name

ELLEN LEIGH

Last Name

VANDERMARK

Business Name

ELLEN LEIGH VANDERMARK

Original Issue Date

02/19/1976

Effective Date

04/30/2018

Expiration Date

09/30/2020

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

01/14/2021