ELIZABETH WALLACE CULLEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041343511

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

WALLACE

Last Name

CULLEN

Business Name

ELIZABETH WALLACE CULLEN

Original Issue Date

11/01/2004

Effective Date

04/14/2010

Expiration Date

05/31/2012

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

07/10/2012