BERTHA J ELLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013146

License Status

NOT RENEWED

Business

First Name

BERTHA J

Last Name

ELLIS

Business Name

BERTHA J ELLIS

Original Issue Date

01/29/1965

Expiration Date

01/31/1985

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

10/21/2005