TARA D ELLEFRITZ - Registered Nurse License in Illinois | # 041343909

TARA D ELLEFRITZ

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041343909

License Status

NOT RENEWED

Business

N

First Name

TARA

Middle

D

Last Name

ELLEFRITZ

Business Name

TARA D ELLEFRITZ

Original Issue Date

12/03/2004

Effective Date

03/11/2008

Expiration Date

05/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

08/16/2010