ANTHONY S ELLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041388626

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

ELLIS

Business Name

ANTHONY S ELLIS

Original Issue Date

10/13/2010

Effective Date

10/13/2010

Expiration Date

05/31/2012

City

CHANNAHON

State

Zip

60410

County

WILL

Ever Disciplined

LastModifiedDate

07/10/2012