ELLEN B CLEMENTZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041270774

License Status

INACTIVE

Business

First Name

ELLEN B

Last Name

CLEMENTZ

Business Name

ELLEN B CLEMENTZ

Original Issue Date

10/06/1992

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

03/08/2020