MARY ELLEN LEWIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041259188

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

LEWIS

Business Name

MARY ELLEN LEWIS

Original Issue Date

09/29/1990

Effective Date

05/17/2018

Expiration Date

09/30/2020

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

01/14/2021