ELLEN GRACE D TAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041380121

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

GRACE D

Last Name

TAN

Business Name

ELLEN GRACE D TAN

Original Issue Date

09/29/2009

Effective Date

05/13/2018

Expiration Date

09/30/2020

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021