ANNE REBECCA ELLENWOOD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041169103

License Status

NOT RENEWED

Business

First Name

ANNE REBECCA

Last Name

ELLENWOOD

Business Name

ANNE REBECCA ELLENWOOD

Original Issue Date

11/01/1976

Effective Date

04/28/2010

Expiration Date

05/31/2012

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/10/2012