TARA D ELLEFRITZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041343909

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

ELLEFRITZ

Business Name

TARA D ELLEFRITZ

Original Issue Date

12/03/2004

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

08/16/2010