KEITH A ELLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041330508

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

ELLIS

Business Name

KEITH A ELLIS

Original Issue Date

06/25/2002

Effective Date

04/02/2010

Expiration Date

05/31/2012

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012