RANDELL W ELLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041365370

License Status

NOT RENEWED

Business

First Name

RANDELL

Middle

Last Name

ELLIS

Business Name

RANDELL W ELLIS

Original Issue Date

12/18/2007

Effective Date

03/31/2014

Expiration Date

05/31/2016

City

NEW DOUGLAS

State

Zip

62074

County

MADISON

Ever Disciplined

LastModifiedDate

07/11/2016