JEREMY S ELLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041414954

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

Last Name

ELLIS

Business Name

JEREMY S ELLIS

Original Issue Date

09/09/2013

Effective Date

05/14/2018

Expiration Date

09/30/2020

City

LA MOILLE

State

Zip

61330

County

BUREAU

Ever Disciplined

LastModifiedDate

01/14/2021