WAYNE E ELLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041188974

License Status

NOT RENEWED

Business

First Name

WAYNE E

Last Name

ELLIS

Business Name

WAYNE E ELLIS

Original Issue Date

08/07/1979

Effective Date

08/07/1979

Expiration Date

05/31/2006

City

BUNKER HILL

State

Zip

62014

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/09/2006