MADGE E ULLESTAD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041345450

License Status

NOT RENEWED

Business

First Name

MADGE

Middle

Last Name

ULLESTAD

Business Name

MADGE E ULLESTAD

Original Issue Date

03/24/2005

Effective Date

03/24/2005

Expiration Date

05/31/2008

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2022

Case Number

2020004625

Action

Refuse To Renew

Discipline Start Date

10/06/2022

Discipline Reason

registered professional nurse license placed in refuse to renew status due to a sister-state discipline.