MELISSA ANN OTIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041348975

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

ANN

Last Name

OTIS

Business Name

MELISSA ANN OTIS

Original Issue Date

09/19/2005

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

01/14/2021