KEITH A ELLIS - Registered Nurse License in Illinois | # 041330508

KEITH A ELLIS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041330508

License Status

NOT RENEWED

Business

N

First Name

KEITH

Middle

A

Last Name

ELLIS

Business Name

KEITH A ELLIS

Original Issue Date

06/25/2002

Effective Date

04/02/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012