ELLEN R MAHAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041342756

License Status

INACTIVE

Business

First Name

ELLEN

Middle

Last Name

MAHAN

Business Name

ELLEN R MAHAN

Original Issue Date

09/17/2004

Effective Date

06/01/2016

Expiration Date

05/31/2018

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/06/2018