BEVERLY E ELLENA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010400

License Status

NOT RENEWED

Business

First Name

BEVERLY E

Last Name

ELLENA

Business Name

BEVERLY E ELLENA

Original Issue Date

04/02/1962

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005