FAY ELLIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012785

License Status

INACTIVE

Business

First Name

FAY

Last Name

ELLIS

Business Name

FAY ELLIS

Original Issue Date

12/17/1964

Expiration Date

01/31/1985

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/21/2005